Sikorski Christian W, Iteld Lawrence, McKinnon McKay, Yamini Bakhtiar, Frim David M
Section of Neurosurgery, Comer Children's Hospital, The University of Chicago, Chicago, IL 60637, USA.
Pediatr Neurosurg. 2007;43(1):19-24. doi: 10.1159/000097520.
Isolated sagittal synostosis is a common form of craniosynostosis affecting roughly 1 in 5,000 children at birth. This results in a scaphocephalic head shape with a characteristically elongated anterior-posterior dimension and narrowed biparietal diameter. We present our experience with the correction of scaphocephaly due to sagittal synostosis using cranial vault reconstruction with a novel form of parietal bone fixation in 21 patients over 10 years. The medial fixation results in a hinging effect whereby transverse brain growth at the squamoid suture is enhanced. This results in excellent cosmetic results that are immediate and durable without the need for postoperative molding helmets. Furthermore, the complications associated with this procedure are limited.
孤立性矢状缝早闭是颅缝早闭的一种常见形式，大约每5000名出生儿童中就有1例受其影响。这会导致舟状头畸形，其特征是前后径拉长，双顶径变窄。我们介绍了我们在10年里对21例因矢状缝早闭导致的舟状头畸形进行矫正的经验，采用一种新型顶骨固定方式的颅骨穹窿重建术。内侧固定产生一种铰链效应，从而增强鳞状缝处大脑的横向生长。这带来了即时且持久的极佳美容效果，无需术后使用塑形头盔。此外，该手术相关的并发症有限。
