Craniofacial surgery in children: new technologies

Roginsky V.V., Ananov M.V., Cherekaev V.A., Mamedov A.A. et al.

(Moscow Center of Children's Craniofacial Surgery, Burdenko Research Neurosurgical Institute, Moscow, Russia)

Possibility of reconstruction of any craniofacial defect and complete social rehabilitation of patients is discussed.

A number of children, treated since 1990, was equal to 214. Treatment stages were analyzed; terms of surgical interventions were substantiated; several methods of rendering care to this category of patients were worked out. A programme of rehabilitation of children with congenital developmental craniofacial defects was created and optimum terms of performing an operation were determined. Reconstructive interventions in craniostenosis (51 cases) were made during the first year of life; It turned out, that the first 6 months were the optimum period of time.

New basal approaches allowed to perform radical removal of tumors of anterior and middle cranial fossae, growing into accessory nasal sinuses, stomato- and nasopharynx. Use of compression-distraction osteosythesis in hypoplasia of the upper and lower jaw and their defects started in 1997. For the first time a method of stereolithographic biomodeling was used in Russia in 1999.