Department of Neurosurgery, Cook Children's Hospital, Fort Worth, Texas.
Semin Plast Surg. 2014 Aug;28(3):144-9. doi: 10.1055/s-0034-1384810.
Over the last decade, endoscopy has been increasingly utilized in craniosynostosis surgery. In 2006, the author added endoscopy followed by helmet therapy to the treatment of young craniosynostosis patients. Since then, 73 children have been successfully treated utilizing endoscopic techniques with a transfusion rate of 23%. Most children are discharged on the first postoperative day; helmet therapy begins one week later. A helmet is worn for 4 to 6 months with one helmet replacement. Complications were limited to three reoperations to address suboptimal results, and one reoperation for a persisting skull defect. One sagittal sinus injury was addressed successfully, with resolution of a small intrasinus thrombus and no adverse brain sequelae. Although not applicable to every craniosynostosis patient, properly applied endoscopic-assisted craniosynostosis surgery is safe and effective, adding another option to the treatment armamentarium for craniosynostosis.
在过去的十年中，内窥镜检查已越来越多地应用于颅缝早闭手术。2006 年，作者在治疗年轻颅缝早闭患者时，在治疗中增加了内窥镜检查和头盔治疗。从那时起，73 名儿童成功地接受了内窥镜技术治疗，其输血率为 23%。大多数儿童在术后第一天出院；一周后开始戴头盔治疗。头盔佩戴 4 至 6 个月，需更换一次头盔。并发症仅限于 3 次手术以解决效果不佳的问题，以及 1 次手术解决持续颅骨缺损的问题。成功处理了 1 例矢状窦损伤，小窦内血栓溶解，无不良脑后遗症。虽然并非适用于每个颅缝早闭患者，但适当应用内窥镜辅助颅缝早闭手术是安全有效的，为颅缝早闭的治疗手段增加了另一种选择。
