Department of Craniofacial Reconstruction, Cook Children's Hospital, Fort Worth, Texas.
Department of Neurosurgery, Cook Children's Hospital, Fort Worth, Texas.
Semin Plast Surg. 2014 Aug;28(3):115-20. doi: 10.1055/s-0034-1384806.
Metopic craniosynostosis is a common growth disturbance in the infant cranium, second only to sagittal synostosis. Presenting symptoms are usually of a clinical nature and are defined by an angular forehead, retruded lateral brow, bitemporal narrowing, and a broad-based occiput. These changes create the pathognomonic trigonocephalic cranial shape. Aesthetic in nature, these morphological changes do not constitute the only developmental issues faced by children who present with this malady. Recent studies and anecdotal evidence have also demonstrated that children who present with metopic synostosis may face issues with respect to intellectual and/or psychological development. The authors present an elegant approach to the surgical reconstruction of the trigonocephalic cranium using an in situ bandeau approach.
额缝早闭是婴儿颅骨常见的生长障碍，仅次于矢状缝早闭。其临床表现通常具有明显的临床特征，表现为额骨倾斜、眉弓后缩、双侧颞部变窄、枕骨宽大。这些改变形成了特有的三角头畸形。这些形态改变是一种美学问题，并不构成患有这种疾病的儿童所面临的唯一发育问题。最近的研究和轶事证据也表明，患有额缝早闭的儿童可能在智力和/或心理发育方面存在问题。作者采用原位头带法对三角头颅进行了巧妙的重建。
