变形性后斜头畸形：诊断与治疗
Deformational posterior plagiocephaly: diagnosis and treatment.
作者信息
Teichgraeber John F, Ault Jeffrey K, Baumgartner James, Waller Amy, Messersmith Marion, Gateño Jaime, Bravenec Brian, Xia James
机构信息
Division of Plastic Surgery, University of Texas-Houston Medical School, Houston, Texas 77030, USA.
出版信息
Cleft Palate Craniofac J. 2002 Nov;39(6):582-6. doi: 10.1597/1545-1569_2002_039_0582_dppdat_2.0.co_2.
OBJECTIVE
This study was designed to evaluate the effectiveness of helmet therapy (DOC band) in the correction of patients with moderate to severe posterior deformational plagiocephaly.
DESIGN
In this prospective study, the infants were evaluated using 18 anthropometric measurements.
PATIENTS
The charts of 248 patients seen between August 1, 1995, and July 31, 1999, were reviewed, and 125 met the criteria for inclusion in the study. All the patients had posterior deformational plagiocephaly with no other craniofacial deformities or medical conditions. Treatment was instituted prior to 1 year of age, and all patients were compliant with DOC band usage and had complete anthropometric measurements.
RESULTS
The study recorded a 41.56% (p < .001) reduction in cranial vault asymmetry and a 40.23% (p <.001) reduction in cranial base asymmetry. Orbitotragial asymmetry was improved 18.72% (p = .0738). The age at which treatment was begun was not a significant factor in predicting treatment outcomes.
目的
本研究旨在评估头盔疗法（DOC头环）对中重度后位畸形性斜头畸形患者的矫正效果。
设计
在这项前瞻性研究中，使用18项人体测量指标对婴儿进行评估。
患者
回顾了1995年8月1日至1999年7月31日期间就诊的248例患者的病历，其中125例符合纳入研究的标准。所有患者均患有后位畸形性斜头畸形，无其他颅面畸形或疾病。在1岁之前开始治疗，所有患者均依从DOC头环的使用且有完整的人体测量数据。
结果
研究记录到头颅穹窿不对称减少了41.56%（p <.001），颅底不对称减少了40.23%（p <.001）。眶耳不对称改善了18.72%（p = .0738）。开始治疗的年龄不是预测治疗结果的显著因素。
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