Management of nasal deformity with unicoronal craniosynostosis using the nasal bones were wedge removed
10.3760/cma.j.issn.1009-4598.2019.04.011
- VernacularTitle: 鼻根部楔形截骨治疗单侧冠状缝早闭症鼻畸形
- Author:
Zhengfu YU
1
;
Jun YAN
;
Qingwen GAO
;
Jie CUI
;
Jianbing CHEN
;
Yi JI
;
Jijun ZOU
;
Haini CHEN
;
Weimin SHEN
Author Information
1. Department of Burn and Plastic Surgery, Children′s Hospital of Nanjing Medical University, Nanjing 210008, China
- Publication Type:Journal Article
- Keywords:
Unicoronal craniosynostosis;
Nasal deformity;
Osteogenesis, distraction
- From:
Chinese Journal of Plastic Surgery
2019;35(4):386-389
- CountryChina
- Language:Chinese
-
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.
