一个松动的松动:在弹辅助扩张的不平等
Jinggang J Ng1, Ashley E Chang1, Dillan F Villavisanis1
1Division of Plastic, Reconstructive and Oral Surgery, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA.
用弹为媒介的骨整形 (SMC) 维持头部索引,并提供良好的整形结果,只有少数重复手术. 早期干预改善了美学结果,而合模式影响了长期的面发育.
科学领域:
- 面外科手术 面外科手术
- 儿科神经外科 儿科神经外科
- 整形外科 整形外科 整形外科
背景情况:
- 无综合性沙吉塔骨同位症是一种常见的先天性疾病,其特征是沙吉塔骨的过早融合.
- 弹介导的头骨整形术 (SMC) 是一种用于纠正这种形的手术技术.
- 在SMC之后的长期形态测量结果需要进一步调查.
研究的目的:
- 为了评估儿童的长期形态测量结果与SMC治疗的孤立的非综合征的状骨.
- 确定影响SMC后面发育的因素.
- 评估SMC在获得良好的化品效果方面的有效性和安全性.
主要方法:
- 在2011年至2020年期间接受SMC的54名儿童的回顾性评估.
- 评估头骨指数 (CI),惠特克等级,头骨厚度和接融合.
- 与正常的对照组进行了额头头和顶点-鼻子-脑前 (VNO) 角度的比较.
主要成果:
- 平均随访时间为6.3年;平均CI维持在术后.
- 只有5.6%的患者需要重新手术; 94.4%的患者实现了Whitaker I级.
- 与对照组相比,没有观察到正面杆或VNO角度的显著差异.
- 手术时的年龄较小与更好的结果相关;合模式影响了形态.
结论:
- SMC有效地保持头骨指数,并提供有利的化品结果,在沙吉塔骨突症中重新操作率低.
- 早期的手术干预与改善的美学结果有关.
- 区域接融合模式在SMC后的长期面异形学中起作用.
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