[Cranial vault reconstruction of plagiocephaly]
Wei-min Shen1, Gang Wang, Jie Cui
1Craniofacial Surgery Department of Nanjing Children Hospital Affiliated to Nanjing Medical University, Nanjing 210008, China.
Objective:
Treatments of unilateral lambdoid synostosis and unilateral coronal synostosis.
Methods:
Approach to coronal, double frontal flaps were rotated with orbit advancement and anteversion of the frontal to enlarge the volume of ante cranial fossa., and reconstruct the contour of orbit and the frontal. The gap was between the frontal and parietal to reconstruct the coronal suture after fixation and reconstruction of the frontal os. For post plagiocephaly, double rotated occipital flap and plum-plasty flap were performed to reconstruct the occiput. The gap between the parietal and occiput was to reconstruct the lambdoid suture.
Results:
Eight cases have favourable prognosis with satisfactory contour.
Conclusions:
It is optimal to use frontal flap rotation, orbit advancement and frontal anteversion to correct the unilateral coronal synostosis. Bilateral rotated occipital-parietal crossing flap and plum-plasty were performed to reconstruct the occiput. Keeping the gap between the parietal and occiput for reconstruction of the lambdoid suture is suitable to infant.
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