Kobus Kazimierz, Wegrzyn Marek, Lekston Zdzislaw, Morawiec Henryk, Drugacz Jan
University Clinic of Medical Academy in Wroclaw, Wroclaw, Poland.
J Craniofac Surg. 2007 May;18(3):504-10. doi: 10.1097/scs.0b013e31802cf4ce.
As long as resection of sagittal suture eliminates craniostenosis it leads to desired cranium broadening and shortening solely in the case of children under six months of age. In the majority of cases, especially in older children, boat-shaped cranium remains rather unchanged and its effective modeling requires extensive dissection and osteotomy of the whole cranium vault (e.g., frontal, occipital and parietal bones). Lauritzen's method is an alternative solution. It consists of distraction of cranium vault bones with the aid of steel springs. In order to simplify and improve the efficacy of treatment since 2002, the authors originated the application of titanium-nickel rings to model the cranium. After the sparing excision of cranium vault sutures in the shape of letter "H" the compressed ring is given in the sagittal axis oval shape and in this form it is fixed to osseous margins. The ring's expansion at the same time broadens and shortens the cranium vault. Material was analyzed from 7 children (range, 9 months to 4 years of age), who were treated in the years 2002-2006 because of sagittal craniostenosis. Observations made so far and good treatment results indicate purposefulness of discussed treatment continuation.
只要矢状缝切除术能消除颅骨狭窄，那么仅在6个月以下儿童中，它会使颅骨按预期变宽和变短。在大多数情况下，尤其是年龄较大的儿童，舟状头型颅骨基本保持不变，其有效的塑形需要对整个颅顶进行广泛的解剖和截骨术（例如额骨、枕骨和顶骨）。劳里岑方法是一种替代解决方案。它包括借助钢弹簧对颅顶骨进行牵引。为了自2002年起简化并提高治疗效果，作者开创了应用钛镍环来塑造颅骨的方法。在以“H”形对颅顶缝进行保留性切除后，将压缩环制成矢状轴椭圆形，并以这种形式固定在骨边缘。环的扩张同时使颅顶变宽和变短。对2002年至2006年间因矢状缝早闭接受治疗的7名儿童（年龄范围为9个月至4岁）的资料进行了分析。目前的观察结果和良好的治疗效果表明继续进行所讨论的治疗是有意义的。
