Management of nasal deformity with unicoronal craniosynostosis using the nasal bones were wedge removed

Abstract

Objective \nTo investigate the treatment of nasal deformity in patients with unicoronal craniosynostosis. \n \n \nMethods \nIn 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. \n \n \nResults \nPostoperative 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. \n \n \nConclusions \nNasal wedge resection should be used to correct nasal deformity in children over 6 months with unicoronal craniosynostosis. \n \n \nKey words: \nUnicoronal craniosynostosis;\xa0Nasal deformity;\xa0Osteogenesis, distraction