Management of nasal deformity with unicoronal craniosynostosis using the nasal bones were wedge removed / 中华整形外科杂志

ABSTRACT

Objective@#To investigate the treatment of nasal deformity in patients with unicoronal craniosynostosis.@*Methods@#In patients over 6 months old, the nasal bones were wedge-removed without fixation. The management of all patients with unicoronal craniosynostosis was distraction osteogenesis of pedicled unilateral frontal bone flap.@*Results@#Postoperative extended distance of the frontal bone was 28—41 mm (mean, 35.4 mm). After extension, three-dimensional reconstruction of cranial CT was carried out, which showed that CVAI was 0.8—1.2 (mean, 0.98), tending to normal. After discharge, dynamic cranial braces were put on for 1 year. Postoperatively, the children were followed up for 8—36 months (mean, 28 months). The shape and nasal deformity of all children were improved compared with those before surgery.@*Conclusions@#Nasal wedge resection should be used to correct nasal deformity in children over 6 months with unicoronal craniosynostosis.