颅缝早闭及相关面中段畸形的手术：一张图解和步骤指南

english | 2024 | ISBN: 3031491017 | 226 Pages | PDF (True) | 53 MB

It presents a systematic approach, beginning with calvarial osteotomies. The author introduces a general type of osteotomy that can be applied for total vault remodeling in cases of total synostosis. These osteotomies can also be modified and used in single or combined synostoses. To shape the calvaria, the book describes the use of metal plates as a scaphold. These plates can be prebent on 3-D models and used to fix the segments after osteotomies. Following that, resorbable osteosynthesis is performed, and the metal plates are subsequently removed. This unique approach, combined with standardized osteotomies, ensures highly predictable results that are not currently described in textbooks. The book includes clinical examples for each type of synostosis and various combinations, including two-stage procedures and combinations with distraction techniques. These examples provide surgeons with a solid foundation for addressing different cases. In the chapter on midface osteotomies, the book explains the access and technique for performing the LeFort-III osteotomy using cadaver and clinical figures. It covers all types of LeFort-I to III osteotomies and their combinations through clinical cases. The book illustrates the osteotomies, osteosynthesis, distraction techniques, and combinations using clinical examples. Additionally, the book demonstrates the method of computer planning, the fabrication of osteotomy guides, and the use of preformed plates to define the position of the segments.

它提出了一种系统的方法，从鞍状骨切开术开始。作者介绍了一种适用于完全颅盖重塑的总顶骨截骨的一般类型。这些截骨术也可以被修改并在单侧或复合性顶骨融合中使用。为了塑造颅盖骨，本书描述了金属板作为支架的用途。这些板材可以在三维模型上预弯，并在截骨后用来固定节段。随后进行可吸收骨骼固定，之后移除金属板。这种独特的方法结合标准化的截骨术确保了高度预测性结果，这是目前教科书未描述的。书中包括每种顶骨融合症及其各种组合类型的临床案例，包括两阶段手术和与牵引技术的组合。这些例子为外科医生提供了处理不同病例的基础。在中面部截骨术一章中，本书解释了使用尸体解剖图和临床图进行LeFort-III截骨术的入路和技术。它涵盖了所有类型的LeFort-I到III截骨术及其组合通过临床案例。书中用临床实例展示了截骨术、骨骼固定术、牵引技术以及组合技术。此外，该书还演示了计算机规划的方法、骨切开术引导的制作方法以及预成型板用于定义节段位置的方法。

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