Jenkins Gregory H, Smith Nicola R, McNeely P Daniel
IWK Health Centre, Dalhousie University, Halifax, Nova Scotia, Canada.
J Neurosurg Pediatr. 2013 Jul;12(1):77-9. doi: 10.3171/2013.4.PEDS12445. Epub 2013 May 10.
A variety of surgical strategies are used to correct sagittal craniosynostosis. There is increasing experience with the use of endoscope-assisted techniques, although there is no consensus regarding the optimal technique. Pancraniosynostosis occurring after the surgical repair of single-suture craniosynostosis is an unusual complication. The authors describe the case of a nonsyndromic patient who underwent an endoscope-assisted strip craniectomy with the subsequent use of a helmet orthosis for correction of an isolated sagittal suture craniosynostosis. The patient's early postoperative course was uneventful. Pancraniosynostosis subsequently developed, requiring much more extensive surgical correction. Awareness of this potential complication is necessary to ensure its recognition and appropriate management.
多种手术策略被用于矫正矢状缝早闭。尽管对于最佳技术尚无共识，但内窥镜辅助技术的应用经验越来越多。单缝早闭手术修复后发生全颅缝早闭是一种不寻常的并发症。作者描述了一例非综合征患者的病例，该患者接受了内窥镜辅助的条带颅骨切除术，随后使用头盔矫形器矫正孤立的矢状缝早闭。患者术后早期过程顺利。随后发生了全颅缝早闭，需要更广泛的手术矫正。认识到这种潜在并发症对于确保其识别和适当处理是必要的。
