Cedzich C, Farmand M
Zentrum für Spalt- und Schädelanomalien, Neurochirurgische Klinik am Klinikum Süd Nürnberg, Nurenberg.
HNO. 2003 Mar;51(3):198-208. doi: 10.1007/s00106-002-0799-1.
Premature craniosynostosis is caused by a premature closure of single or multiple sutures of the cranial vault. It may result not only in aesthetic but also in functional disorders with an occasional ICP increase leading to a dramatic loss of vision. In the 1970s,Paul Tessier published his craniofacial principles for the primary treatment of craniosynostosis. His approach has gained wide acceptance over the previously described craniectomies and bone flaps, especially because of the significant benefits with an acceptably low level of morbidity. The following paper reviews the different kinds of craniosynostoses, their specific clinical manifestations, the necessary diagnostic examinations and the specific surgical procedures and operative results.
早发性颅缝早闭是由颅顶单条或多条缝线过早闭合引起的。它不仅可能导致美观问题,还可能导致功能障碍,偶尔会出现颅内压升高,导致视力急剧丧失。20世纪70年代,保罗·泰西耶发表了他关于颅缝早闭一期治疗的颅面原则。他的方法比之前描述的颅骨切除术和骨瓣术更广泛地被接受,特别是因为其显著的益处以及可接受的低发病率。以下论文回顾了不同类型的颅缝早闭、它们的具体临床表现、必要的诊断检查、具体的手术程序和手术结果。