摘要
Crouzon综合症以面中部严重后缩及突眼为主要临床特征。LeFortⅡ型截骨能有效地改善该畸形所致的面部外形异常,同时重建(牙合)关系。本文根据9例临床经验,总结手术要点,常见并发症及手术效果。
Crouzon syndrom is one of craniosynostosis.Clinical characteristics present severe midface retrusion, exophthalmos, and bilateral cross-bite.We employed LcFort Ⅲ advancement osteotomy through subcranial approach and combined subcranial and intracranial approach to correct craniofacial deformities and oral dysfunction.Autonomous rib and iliac bony graft and intermaxillary fixation have been used.Changes between preand postoperation were outstanding by means of lateral cephalogramic study and exophthalmetry measurement.There were 2 cases of temporal cerebrospinal fluid leakage.No death, vision loss, meningitis and osteotitis.Satisfactory appearance was achived in all 9 cases of Crouzon syndrom.
出处
《口腔颌面外科杂志》
CAS
1992年第1期5-7,62,共4页
Journal of Oral and Maxillofacial Surgery