Kirmi Olga, Lo Steven J, Johnson David, Anslow Philip
Department of Radiology, John Radcliffe Hospital, Oxford, United Kingdom.
Semin Ultrasound CT MR. 2009 Dec;30(6):492-512. doi: 10.1053/j.sult.2009.08.002.
Craniosynostosis is the premature fusion of the cranial sutures. It is identified early in life either due to cosmetic deformity or due to more serious functional complications. Isolated forms of craniosynostosis are much more common and less challenging in their management than their syndromic counterpart. Modern multislice computed tomography and 3D reconstructions have revolutionized surgical planning and follow-up. We review the radiological features of the craniosynostoses, complications, and associated conditions that may alter patient management. Common surgical techniques and postoperative appearances are illustrated in the article.
颅缝早闭是颅缝的过早融合。它在生命早期被发现,要么是由于外观畸形,要么是由于更严重的功能并发症。孤立性颅缝早闭比综合征性颅缝早闭更为常见,其治疗难度也更低。现代多层计算机断层扫描和三维重建彻底改变了手术规划和随访方式。我们回顾了颅缝早闭的放射学特征、并发症以及可能改变患者治疗方案的相关情况。本文还展示了常见的手术技术和术后外观。