Skull plasty to correct congenital craniosynostosis / 中华整形外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To investigate the technique of skull reconstruction for the congenital craniosynostosis.</p><p><b>METHODS</b>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.</p><p><b>RESULTS</b>37 cases were recovery without complication. The figures were improved.</p><p><b>CONCLUSIONS</b>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.</p>