形态和结局在合并的斜面和单面冠状同位素
Damini Tandon1, Jackson S Burton1, Madeline Karsten2
11Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, Missouri.
Journal of neurosurgery. Pediatrics
|February 14, 2025
概括
结合的斜面和单侧冠状突,一种罕见的疾病,在开放式和内镜外科修复后,显示了面形态的改善. 这些程序是安全和有效的治疗这种复杂的关突.
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:
- 结合的斜面和单边冠状突结是不常见的多头骨突结.
- 了解其独特的呈现方式和手术结果对于有效的管理至关重要.
研究的目的:
- 描述患者的人口统计和面形态在结合的斜面和单面冠状突.
- 报告和比较开放和内镜修复技术的外科结果.
主要方法:
- 对10名患者进行了回顾性队列研究,这些患者患有合并的斜面和单侧冠状突.
- 手术修复包括开放的前轨道推进或内镜带骨切除术.
- 通过CT扫描评估的面形态 (头脑指数,轨道指数不对称,鼻尖/下巴偏差,前额头穴面积比).
主要成果:
- 主要是男性患者 (70%),左冠状融合 (80%).
- 内镜修复 (60%) 的操作时间比开放修复 (40%) 短.
- 手术后的CT扫描显示脑指数,轨道不对称性,下巴偏差和骨底部不对称性有所改善,鼻尖偏差略有恶化.
结论:
- 结合的斜面和单边冠状结合症呈现类似于单独的形式.
- 开放式和内镜外科修复都是安全有效的.
- 手术干预导致面形态参数的良好趋势.
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