[Skull plasty to correct congenital craniosynostosis].

Zhonghua Zheng Xing Wai Ke Za Zhi

Department of Plastic Surgery, Children's Hospital Affiliated to Nanjing Medical University, Nanjing 210008, China.

Published: July 2007

Objective: To investigate the technique of skull reconstruction for the congenital craniosynostosis.

Methods: Many technique of skull plasty were adopted to correct the congenital craniosynostosis. We advanced fronto-orbital, reversal change of the frontal bone to correct the brachycephalic, hydrocephaly acrocephaly, which were supported by parietal bone. Plum-plasty of the calvaria was performed for sagittal synostosis; Fronto-orbital plasty correct the trigonocephaly; for single coronal synostosis, which result to frontal plagiocephaly,we reversed both frontal sides, advanced orbital strip and tilted the invalid side . The post plagiocephaly because of single Lambdoid synostosis, we performed of plum-plasty, reversal change of total occipital. Fronota-facial advancement cured the brachycephalic complicating with Apert or Crouzon which caused by coronal synostosis and cranial basal suture synostosis.

Results: 37 cases were recovery without complication. The figures were improved.

Conclusions: Big calvarial flap plasty is an optimal technique to correct the congenital craniosynostosis. But it is not substituted by bone lengthening and minimally invasive technique.

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