Hou Hai-dong, Liu Ming, Gong Ke-rui, Shao Guo, Zhang Chun-Yang
Department of Neurosurgery, The First Affiliated Hospital of Baotou Medical College, Inner Mongolia, 014060, People's Republic of China.
Childs Nerv Syst. 2014 Sep;30(9):1511-5. doi: 10.1007/s00381-014-2468-6. Epub 2014 Jun 29.
There are some controversies about the optimal time to perform skull repair in very young Chinese children because of the rapid skull growth in this stage of life. The purpose of this current study is to describe the characteristics of skull growth and to discuss the optimal time for skull repair in young Chinese children with skull defects.
A total of 112 children born in the First Affiliated Hospital of Baotou Medical College were measured for six consecutive years starting in 2006. Cranial length (CL, linear distance between the eyebrows to the pillow tuberosity), cranial width (CW, double-sided linear distance of connection of external auditory canal), ear over the top line (EOTL), the eyebrows-the posterior tuberosity line (EPTL), and head circumference (HC) were measured to describe the skull growth.
The most rapid period of skull growth occurs during the first year of life. The second and third most rapid periods are the second and third years, respectively. Then, the skull growth slowed and the values of the skull growth index of 6-year-old children were close to those of adults.
Children 0-1 years old should not receive skull repair due to their rapid skull growth. The indexes of children 3 years old or older were close to those of the adult; therefore, 3 years old or older may receive skull repair.
由于中国幼儿期颅骨生长迅速，对于中国幼儿进行颅骨修复的最佳时机存在一些争议。本研究的目的是描述颅骨生长特征，并探讨中国幼儿颅骨缺损修复的最佳时机。
从2006年开始，对包头医学院第一附属医院出生的112名儿童连续六年进行测量。测量颅长（CL，从眉毛到枕结节的直线距离）、颅宽（CW，外耳道连线的双侧直线距离）、耳上顶线（EOTL）、眉-后结节线（EPTL）和头围（HC）以描述颅骨生长情况。
颅骨生长最快的时期发生在生命的第一年。第二和第三快的时期分别是第二年和第三年。然后，颅骨生长放缓，6岁儿童的颅骨生长指数值接近成年人。
0至1岁的儿童由于颅骨生长迅速不应接受颅骨修复。3岁及以上儿童的指数接近成年人；因此，3岁及以上儿童可以接受颅骨修复。
