McIntosh Bryan C, Lee Su-Shin, Ball Lynne L, Persing John A
Department of Surgery, Hospital of St Raphael, New Haven, Connecticut, USA.
J Craniofac Surg. 2008 Nov;19(6):1566-70. doi: 10.1097/SCS.0b013e31818c04e5.
Patients with Apert syndrome have bilateral coronal craniosynostosis as one of their many distinguishing features. Surgical correction of this deformity is the mainstay of treatment. Abnormal widening of the skull base progresses despite cranioplasty. We describe a patient for whom a skull molding cap (SMC) was used after barrel-stave osteotomy and orbital rim advancement. This successfully restricted widening of her skull base while allowing growth in other dimensions. Utilization of skull molding caps after cranial surgery shows promise in this setting.
患有Apert综合征的患者具有双侧冠状缝早闭，这是其众多显著特征之一。手术矫正这种畸形是主要的治疗方法。尽管进行了颅骨成形术，但颅底仍会异常增宽。我们描述了一名患者，在桶状骨切开术和眶缘前移术后使用了颅骨塑形帽（SMC）。这成功地限制了她颅底的增宽，同时允许其他维度的生长。在这种情况下，颅骨手术后使用颅骨塑形帽显示出了前景。
