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Midfaoial distraction using a transfacial pinning technique for syndromic craniosynostosis with obstructive respiratory disorders

机译:使用综合征抗癌技术进行中等剖钉技术,患有阻塞性呼吸障碍的综合征蠕动技术

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Syndromic craniosynostosis is known to be associated with various obstructive respiratory disorders including sleep apnea. We performed early midfacial distraction using a transfacial pinning technique in 5 syndromic craniosynostotic patients with obstructive respiratory disorders. We report here good results, indications, and usefulness of this procedure. The subjects were 5 young children ages 7 months to 2 years who had respiratory disorders since birth due to midface hypoplasia. All subjects underwent midfacial distraction to avoid tracheotomy. The method involved Le Fort III osteotomy followed by the use of our original transfacial pinning system. All patients had markedly improved respiratory conditions after distraction, and a tracheotomy was avoided. Postoperative PSG and cephalograms also showed great improvements compared to preoperative findings. A transfacial pinning system was considered useful and can be the most suitable method for early midfacial distraction in syndromic craniosynostosis with obstructive respiratory disorders.
机译:已知综合征颅骨issis和包括睡眠呼吸暂停的各种阻塞性呼吸系期相关联。我们使用5例综合征蠕动患者进行了患者的闭塞性呼吸系统患者进行早期的中敷分散。我们在这里报告了这个程序的良好结果,适应症和有用性。受试者为5岁7个月的幼儿5岁至2岁,由于中间发育不全而出生以来患有呼吸系统障碍。所有受试者都经历了中敷的分心,以避免气管切开术。该方法涉及Le Fort III截骨术,然后使用我们原始的转敷钉钉系统。所有患者在分心后都显着改善了呼吸系统条件,避免了气管切开术。与术前调查结果相比,术后PSG和头骨图也显示出巨大的改善。转敷钉钉系统被认为是有用的,并且可以是患有阻塞性呼吸障碍的综合征颅骨肌肤中早期中期分心的最合适的方法。

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