Correction of Frontal bone defect in Cleidocranial Dysostosis with Porous Polyethylene(Medpor®): A case report

쇄골두개이형성증(Cleidocranial Dysostosis)환자에서 Porous Polyethylene(Medpor®)를 이용한 두개골 함몰의 교정 1례

  • Moh, Jae Seong (Department of Plastic & Reconstructive Surgery, Wonkwang University Hospital) ;
  • Na, Young Cheon (Department of Plastic & Reconstructive Surgery, Wonkwang University Hospital)
  • 모재성 (원광대학교 성형외과학 교실) ;
  • 나영천 (원광대학교 성형외과학 교실)
  • Published : 2009.07.15

Abstract

Purpose: Cleidocranial dysostosis is a rare hereditary disorder affecting bones that develop by intramembranous formation. The typical features include excessive growth of transverse diameter of the skull, hypoplastic clavicles, low height and characteristic facial features. Methods: A 28 years old female patient visited by frontal area depression. The diagnosis was performed by computed tomographic study and radiographic imaging. The patient has widely opened anterior fontanelle, partial fused metopic suture, multiple wormian bone and supernumenary impacted teeth. Under the coronal incision, we exposed depressed frontal area and corrected with Medpor block carving. Results: Postoperatively, frontoparietal skull was aestheticlly improved and she was satisfied with the results. Conclusion: Authors report a case of cleiodocranial dysostosis who has been done correction of abnormal skull shape by Medpor$^{(R)}$ insertion.

Keywords

Acknowledgement

Supported by : 원광대학교

References

  1. Golan I, Baumert U, Hrala BP, Mubig D: Dentomaxillofacial variability of cleidocranial dysplasia: clinicoradiological presentation and systematic review. Dentomaxillofac Radiol 32: 347, 2003 https://doi.org/10.1259/dmfr/63490079
  2. Kim HS, Hong KD, Ha SS, Huh BJ: Cleidocranial dysostosis one case report. J Korean orthped Surg 25: 614, 1990
  3. Frohberg U, Tiner BD: Surgical correction of facial deformities in a patient with cleidocranial dysplasia. J Craniofac Surg 6: 49, 1995 https://doi.org/10.1097/00001665-199501000-00014
  4. Han KH, Ham HJ, Kang JS: An anthropometric analysis of cleidocranial dysostosis. J Korean Soc Plast Reconstr Surg 21: 121, 1994
  5. Siggers DC: Cleidocranial dysostosis. Dev Med Child Neurol 17: 522, 1975 https://doi.org/10.1111/j.1469-8749.1975.tb03507.x
  6. Mundlos S: Cleidocranial dysplasia: clinical and molecular genetics. J Med Genet 36: 177, 1999
  7. Jensen BL: Cleidocranial dysplasia: craniofacial morphology in adult patients. J Craniofac Genet Dev Biol 14: 163, 1994
  8. Kang N, Kim SZ, Jung SN: Correction of depressed forehead with bone source in cleidocranial dysplasia. J Craniofac Surg 20: 564, 2009 https://doi.org/10.1097/SCS.0b013e31819ba361