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目的 探讨手术治疗婴幼儿颅缝早闭引起的额眶骨畸形的手术方法和手术时机。方法 采用额骨上眶骨联合截骨塑形前移的手术方法。连续收治了 11名患儿 ,2名女性 ,9名男性 ,年龄 6～ 9个月。其中 ,额缝早闭 6例 ,非综合征性单侧冠状缝早闭 2例 ,多骨缝早闭 1例 ,Apert综合征和Saethre Chotzen综合征累及冠状缝等骨缝早闭各 1例。结果 随访 2～ 11个月 ,均取得满意的矫正效果。其中 1例术后发现颅骨顶部 (非术区 )局部隆起 ,经戴头盔 3个月得以控制。未发生明显并发症。结论 额骨上眶骨联合截骨塑形前移方法能够安全、有效地矫正颅缝早闭引起的额眶发育不良。
Objective To investigate the surgical methods and operation timing of surgical treatment of orbital deformity caused by early craniosynostosis in infants. Methods The surgical method of frontal orbital osteotomy combined with osteotomy was performed. A total of 11 children, 2 women and 9 men, aged 6 to 9 months, were admitted. Among them, premature suture in 6 cases, nonsyndromic unilateral coronary occlusion in 2 cases, multiple suture anterior closure in 1 case, Apert syndrome and Saethre Chotzen syndrome involving the coronal suture in 1 case of premature suture. Results The follow-up of 2 to 11 months, achieved satisfactory correction effect. One of the cases found the top of the skull (nonoperative area) after the local bulge, after wearing a helmet for 3 months to be controlled. No obvious complication occurred. Conclusions Frontal orbital osteotomy combined with osteotomy can safely and effectively correct frontal orbital dysplasia caused by craniosynostosis.