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婴儿头部畸形:是姿势问题还是病理问题?

Misshapen heads in babies: position or pathology?

作者信息

Bronfin D R

机构信息

Medical Director, Craniofacial Team, Department of Pediatrics, Ochsner Clinic and Alton Ochsner Medical Foundation, New Orleans, LA.

出版信息

Ochsner J. 2001 Oct;3(4):191-9.

PMID:21765737
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3116745/
Abstract

A newborn's skull is highly malleable and rapidly expanding. As a result, any restrictive or constrictive forces applied to a baby's head can result in dramatic distortions. These changes can be mild, reversible deformations or severe, irreversible malformations that can result in brain injury. This paper reviews the anatomy and physiology of normal and abnormal brain and skull growth, the etiology of cranial deformation, the types of craniosynostosis most commonly seen in infants, and the importance of early diagnosis and treatment.

摘要

新生儿的头骨具有高度的可塑性且快速生长。因此,施加于婴儿头部的任何限制或压迫力都可能导致显著的变形。这些变化可能是轻微的、可逆的变形,也可能是严重的、不可逆的畸形,进而导致脑损伤。本文综述了正常和异常脑与头骨生长的解剖学和生理学、颅骨变形的病因、婴儿中最常见的颅缝早闭类型,以及早期诊断和治疗的重要性。

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Misshapen heads in babies: position or pathology?婴儿头部畸形:是姿势问题还是病理问题?
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Recent publications by ochsner authors.奥克斯纳作者近期发表的文章。
Ochsner J. 2002 Spring;4(2):122-3.

本文引用的文献

1
Toward an understanding of nonsyndromic craniosynostosis: altered patterns of TGF-beta receptor and FGF receptor expression induced by intrauterine head constraint.关于非综合征性颅缝早闭的认识:宫内头部受压诱导的转化生长因子-β受体和成纤维细胞生长因子受体表达模式改变
Ann Plast Surg. 2001 May;46(5):546-53; discussion 553-4. doi: 10.1097/00000637-200105000-00015.
2
Analysis of posterior plagiocephaly: deformational versus synostotic.后颅斜头畸形分析:变形性与骨性融合性
Plast Reconstr Surg. 1999 Feb;103(2):371-80. doi: 10.1097/00006534-199902000-00003.
3
The differential diagnosis of abnormal head shapes: separating craniosynostosis from positional deformities and normal variants.头部形状异常的鉴别诊断:区分颅缝早闭与体位性畸形及正常变异。
Cleft Palate Craniofac J. 1998 May;35(3):204-11. doi: 10.1597/1545-1569_1998_035_0204_tddoah_2.3.co_2.
4
Observations on a recent increase in plagiocephaly without synostosis.关于近期无颅骨缝早闭的斜头畸形增加情况的观察
Pediatrics. 1996 Jun;97(6 Pt 1):877-85.
5
Intentional cranial deformation: a disappearing form of self-mutilation.
Neurosurgery. 1995 Sep;37(3):374-81; discussion 381-2. doi: 10.1227/00006123-199509000-00002.
6
[Total facial osteotomy. Crouzon's syndrome, Apert's syndrome: oxycephaly, scaphocephaly, turricephaly].[全颜面截骨术。克鲁宗综合征、阿佩尔综合征:尖头畸形、舟状头畸形、塔头畸形]
Ann Chir Plast. 1967 Dec;12(4):273-86.