OBJECTIVE:Patients with cleidocranial dysplasia often express concerns related to their perception of an undesirable esthetic appearance of their forehead and skull because of a combination of the persistence of metopic suture defects and frontal bossing. This case series reviews the use of a cranioplasty technique that has been developed to address such concerns. STUDY DESIGN:A series of 7 adult patients with cleidocranial dysplasia were treated using a cranioplasty technique to correct visible metopic suture defects in the forehead region. The patients were 4 males and 3 females with a mean age of 29.0 years. All 7 patients underwent identical cranioplasty procedures. RESULTS:The metopic suture cranial defects were found to range in size from 0.6 to 2.4 cm in diameter and were present as full-thickness osseous defects in 4 of the 7 patients. All postoperative complications resolved spontaneously. Inpatient admission times ranged from 1 to 3 days. Follow-up ranged from 9 to 48 months with satisfactory subjective esthetic outcomes. The patients were content in all cases. CONCLUSION:This cranioplasty procedure successfully addresses the specific esthetic concerns of a rare and unique group of individuals. The procedure can be offered to cleidocranial dysplasia patients as part of their overall comprehensive craniomaxillofacial management.

译文

目的:伴有颅骨发育不良的患者经常会因担心异位缝线缺损的持续存在和额叶凸凹而对他们的前额和颅骨有不良的审美外观表示担忧。本案例系列回顾了颅骨成形术技术的使用,该技术已被开发用于解决此类问题。
研究设计:采用颅骨成形术治疗了一系列7例颅骨发育不良的成年患者,以纠正前额区域可见的异位缝合线缺陷。患者为男4例,女3例,平均年龄29.0岁。所有7例患者均接受相同的颅骨成形术。
结果:7例患者中有4例发现异位缝线颅骨缺损的直径范围为0.6至2.4 cm,并表现为全层骨性缺损。所有术后并发症均自发解决。住院时间为1至3天。随访时间为9至48个月,主观美学效果令人满意。在所有情况下患者都满意。
结论:这种颅骨成形术成功地解决了罕见而独特的个体的特殊审美问题。该程序可以提供给颅骨发育不良的患者,作为他们全面的颅颌面部综合治疗的一部分。

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