眶距过小症的外科治疗  

Correction of hypotelorism in craniofacial deformity

作　　者：沈卫民[1] 崔杰[1] 陈建兵[1] 陈海妮[1] 邹继军[1] 季易[1] 

机构地区：[1]南京医科大学附属南京儿童医院烧整科,210008

出　　处：《中华整形外科杂志》2015年第2期81-85,共5页Chinese Journal of Plastic Surgery

摘　　要：目的 探讨眶距过小症的诊断和治疗方法.方法 对2000年1月至2014年1月收治的3例额缝早闭伴眶距过小症、2例前脑发育不良引起的眶距过小,以及1例唇裂合并有眶距过小的患儿临床资料进行回顾性分析,确定诊断标准及治疗方法.治疗时采用2种方法：①骨瓣法,直接在眶中间插入1块骨板,增加眶间距;②外spring延长法,把骨瓣缓慢拉开、延长来矫正眶距过小症.结果 6例中2例采用骨瓣法,4例采用外spring牵引法,所有病例均顺利完成治疗,外形得到改善,均无脑脊液漏和感染等并发症发生.4例获得2年随访,测两眶额轴线的夹角为（50 ±±8）°.结论 眶距过小症可以通过矫正眶额桥和微创的spring延长进行治疗,而且效果比较肯定.Objective To investigate the diagnosis and treatment of hypotelorism.Methods From Jan.2000 to Jan.2014,6 cases with hypotelorism were retrospectively studied.Among them,3 cases had craniosynostosis,2 had holoprosencephaly,and l had cleft lip.All the cases were diagnosed and treated by bone graft or spring distraction to correct the hypotelorism.Results 2 cases were treated by none graft and 4 cases were treated by external spring distraction.All the patients completed the treatment successfully with obvious improvement in appearance.No complication happened.4 cases were followed up for 2 years with an average fronto-orbital axis angle as （50 ± 8）°.Conclusions Hypotelorism can be successfully corrected by bone graft as fronto-orbital bridge or spring distraction.

关 键 词：眶距过小症 颅缝早闭症 颅面成形术 

分 类 号：R473.76[医药卫生—护理学]