Transcranial surgical correction of cranio-orbital fibrous dysplasia with lateral orbital approach / 中华整形外科杂志

<p><b>OBJECTIVE</b>To explore the transcranial surgical method with lateral orbital approach for the treatment of cranio-orbital fibrous dysplasia.</p><p><b>METHODS</b>Lateral orbital transcranial extradural approach was adopted to correct complicated fibrous dysplasia in which the frontal, orbital, sphenoid, temporal bones were involved. Partial lesion removal and optic nerve decompression were performed through the transcranial extradural route by fronto-temporal cranial bone flap exposure. The fronto-orbital skeleton was shaped after bone flap deactivation.</p><p><b>RESULTS</b>8 cases were treated successfully with no complication. The period of follow-up ranged from 9 months to 3 years. The appearance and the vision improved greatly. Cranial CT showed good bony union with no relapse.</p><p><b>CONCLUSIONS</b>Lateral orbital transcranial surgical approach is an optimal technique to correct cranio-orbital fibrous dysplasia.</p>

Monobloc distraction osteogenesis and cranial vault remodeling in a pediatric patient with severe Crouzon's syndrome / 中华整形外科杂志

<p><b>OBJECTIVE</b>To report the treatment of a case of severe Crouzon's syndrome using monobloc distraction osteogenesis and cranial vault remodeling.</p><p><b>METHODS</b>Through intra-and extra-cranial approach, monobloc osteotomy was performed and external distractor was placed. Distraction began on the 7th postoperative day at a rate of 1 mm a day, two times a day. The distractor removed after consolidation for 4 months.</p><p><b>RESULTS</b>The distraction distance attained 20 mm. The exophthalmos and cross bite were corrected completely. The severe obstructive apnea improved markedly.</p><p><b>CONCLUSIONS</b>Monbloc distraction osteogenesis and cranial vault remodeling are effective and safe procedure for Crouzon's syndrome.</p>