Silav Gokalp, Avci Gulden, Akan Mithat, Taylan Gaye, Elmaci Ilhan, Akoz Tayfun
Acibadem University, Faculty of Medicine, Department of Neurosurgery, Istanbul, Turkey.
Turk Neurosurg. 2011;21(3):304-14. doi: 10.5137/1019-5149.JTN.4095-11.1.
Anterior plagiocephaly usually occurs with premature synostosis of the ipsilateral half of the coronal suture. The forehead is flattened on the affected side, with a backward and upward displacement of the affected orbit. The bulging of the calvaria may occur in the contralateral parietal area.
This article presents the surgical techniques used over 7 years to treat plagiocephalic children. Eleven patients with unilateral coronal synostosis treated during 2003-2010 were analyzed retrospectively. The study included reviews of pre and postoperative computed tomography scans, operative techniques, clinical outcomes and complications. Unilateral orbital advancement with "tongue in groove" was performed in 5, and bilateral orbital advancement in 6 cases. Pre and postoperative anthropometric measurements were used to document the amount of advancement of the elevated and recessed orbita, and the amount of withdrawal of the contralateral side.
The mean age of the patients at time of surgery was 11 months. The preoperative values of the orbital height and retrusion were 0.68 cm and 1.87 cm, respectively. They were recorded as -0.1cm and 0,63 cm, postoperatively. Mean follow-up was 36 months, neither neurological sequelae nor other significant complications were encountered.
The surgical corrections have resulted in significant improvements in skull shape and high patient/parent satisfaction.
斜头畸形通常伴有同侧冠状缝过早闭合。患侧前额扁平，患侧眼眶向后上方移位。对侧顶叶区域可能出现颅骨膨出。
本文介绍了7年来用于治疗斜头畸形儿童的手术技术。回顾性分析了2003年至2010年期间治疗的11例单侧冠状缝早闭患者。该研究包括术前和术后计算机断层扫描、手术技术、临床结果和并发症的回顾。5例行单侧眼眶“舌入槽”推进术，6例行双侧眼眶推进术。术前和术后人体测量用于记录抬高和凹陷眼眶的推进量以及对侧的回缩量。
患者手术时的平均年龄为11个月。术前眼眶高度和后缩值分别为0.68厘米和1.87厘米。术后记录为-0.1厘米和0.63厘米。平均随访36个月，未出现神经后遗症或其他重大并发症。
手术矫正显著改善了颅骨形状，患者/家长满意度高。
