[Skull plasty to correct congenital craniosynostosis].
OBJECTIVE
To investigate the technique of skull reconstruction for the congenital craniosynostosis.


METHODS
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.


RESULTS
37 cases were recovery without complication. The figures were improved.


CONCLUSIONS
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.
Shen
Wei-min
WM
Department of Plastic Surgery, Children's Hospital Affiliated to Nanjing Medical University, Nanjing 210008, China.
Wang
Gang
G
Cui
Jie
J
He
Jun-ping
JP
D002675:Child, Preschool; D003393:Cranial Sutures / Q000002:abnormalities*; D003398:Craniosynostoses / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D012886:Skull / Q000601:surgery*