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首页> 外文期刊>Child's nervous system: ChNS : official journal of the International Society for Pediatric Neurosurgery >Indication for and surgical outcomes of the distraction method in various types of craniosynostosis. Advantages, disadvantages, and current concepts for surgical strategy in the treatment of craniosynostosis.
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Indication for and surgical outcomes of the distraction method in various types of craniosynostosis. Advantages, disadvantages, and current concepts for surgical strategy in the treatment of craniosynostosis.

机译：牵引方法在各种类型的颅前突中的适应症和手术效果。颅骨突触治疗的手术策略的优点，缺点和当前概念。

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BACKGROUND: Various surgical techniques for the treatment of craniosynostosis using distraction devices have been described over the last few years and we have applied these procedures in seven patients with varying types of craniosynostosis. The aim of this report is to clarify the advantages and disadvantages of these surgical methods and to discuss current concepts for the surgical strategy in the treatment of craniosynostosis. MATERIAL AND METHODS: From January 2001 to March 2003, 25 patients with craniosynostosis were examined. Among them, 7 patients, 5 with Apert syndrome, 1 with Crouzon disease, and 1 with multiple-synostosis, underwent surgical treatment using the distraction method with internal distraction devices, according to our treatment strategy for craniosynostosis. All patients underwent preoperative and postoperative evaluations, which included the patient's neurological state, developmental quotient (DQ), and three-dimensional CT (3D-CT). RESULTS: The timing of the procedures undertaken was between the ages of 1 year 5 months and 12 years 6 months (mean age 4 years 11 months). Five patients had received previous treatment and this procedure was used as a secondary operation. Postoperative distraction distances varied from 7 to 20.5 mm (mean distraction distance: 14 mm). Satisfactory cranial volume expansion and aesthetically pleasing morphological states were achieved in all cases. Regarding complications, one patient required re-operation because of dislocation of the device and skin erosion caused by infection around the penetrated wound. Finally, in a second patient a distortion of the device occurred, but no re-operation was needed. CONCLUSION: The advantage of the distraction method is its applicability for Toddler or Elder Children Calvarial Reconstruction to correct cosmetic and functional problems. One disadvantage is the difficulty in using it for Infantile Calvarial Normalization because of thin calvarial bones and the necessity for re-operation to remove the device, which may result in it becoming a fixation procedure, brain and calvarias. However, the efficacy of this procedure is that the many advantages outweigh the disadvantages as sufficient calvarial expansion and good results using the distraction method, especially in toddler and elder children age groups, can be achieved.
机译：背景：在过去的几年中，已经描述了使用牵引装置治疗颅骨融合症的各种外科手术技术，我们已将这些程序应用于七例颅骨融合症的患者。本报告的目的是阐明这些手术方法的优缺点，并讨论目前治疗颅骨鼻窦病的手术策略概念。材料与方法：自2001年1月至2003年3月，共检查了25例颅前突病患者。其中有7例患者，其中5例患有Apert综合征，1例患有Crouzon病，1例患有多发性滑膜增生，根据我们的颅骨融合术的治疗策略，采用带内部牵张装置的牵张术进行了手术治疗。所有患者均接受术前和术后评估，其中包括患者的神经系统状态，发育商（DQ）和三维CT（3D-CT）。结果：手术时间为1年5个月至12年6个月（平均年龄4年11个月）。五名患者接受过先前的治疗，该程序被用作第二手术。术后撑开距离为7至20.5 mm（平均撑开距离：14 mm）。在所有情况下，均获得令人满意的颅骨体积扩张和美观的形态状态。关于并发症，一名患者需要重新手术，原因是器械脱位以及由于穿透伤口周围的感染而引起的皮肤侵蚀。最后，在第二位患者中，设备发生了变形，但无需重新手术。结论：分心法的优点是其适用于幼儿或老年儿童颅骨重建术，以纠正外观和功能问题。一个缺点是，由于颅骨薄而难以将其用于婴儿颅骨标准化，并且需要重新手术以移除该装置，这可能导致其成为固定程序，大脑和颅骨。但是，此方法的功效在于，许多优点胜于缺点，因为足够的颅骨扩张和使用分散法的效果很好，尤其是在年龄较大的幼儿中。

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