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非综合征性颅缝早闭:诊断与现代外科治疗

Nonsyndromic craniosynostosis: diagnosis and contemporary surgical management.

作者信息

Ruiz Ramon L, Ritter Ann M, Turvey Timothy A, Costello Bernard J, Ricalde Pat

机构信息

Oral and Maxillofacial Surgery/Pediatric Craniofacial Surgery, Southwest Florida Oral and Facial Surgery, Fort Myers, FL, USA.

出版信息

Oral Maxillofac Surg Clin North Am. 2004 Nov;16(4):447-63. doi: 10.1016/j.coms.2004.08.007.

DOI:10.1016/j.coms.2004.08.007
PMID:18088747
Abstract

Contemporary surgical management of nonsyndromic craniosynostosis requires the combined expertise of a pediatric craniofacial surgeon and pediatric neurosurgeon. The goals of surgical intervention are the release of the affected suture, which allows for unrestricted development of the visceral components (eg, brain, eyes) and three-dimensional reconstruction of the skeletal components, which establishes a more normal anatomic position and contour. Surgeon who care for infants with these cranial and orbital malformations must maintain a thorough understanding of the three-dimensional anatomy, characteristic dysmorphology associated with the different types of synostosis, and the complex interplay that exists between surgical intervention and ongoing skeletal growth.

摘要

非综合征性颅缝早闭的现代外科治疗需要小儿颅面外科医生和小儿神经外科医生的联合专业知识。手术干预的目标是松解受影响的缝线,这允许内脏成分(如脑、眼)不受限制地发育,以及对骨骼成分进行三维重建,从而建立更正常的解剖位置和轮廓。治疗患有这些颅骨和眼眶畸形婴儿的外科医生必须对三维解剖结构、与不同类型颅缝早闭相关的特征性畸形以及手术干预与持续骨骼生长之间存在的复杂相互作用有透彻的理解。

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