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用于在颅缝早闭手术的婴儿术后期间维持颅骨结构的定制矫形装置。

Custom made orthotic device for maintaining skull architecture during the postoperative period in infants undergoing craniosynostosis surgery.

作者信息

Gopal Venu, Ganesh Praveen, Nagarjuna Muralidhara, Kumar Kiran, Shetty Samarth, Salins Paul C

机构信息

Department of Cranio-Maxillofacial Surgery, Mazumdar Shaw Medical Center, Narayana Health City, Bommasandra Industrial Estate, Bangalore, Karnataka, India.

Fellow Student, Department of Cranio-Maxillofacial Surgery, Mazumdar Shaw Medical Center, Narayana Health City, Bommasandra Industrial Estate, Bangalore, Karnataka, India.

出版信息

J Oral Biol Craniofac Res. 2015 May-Aug;5(2):75-80. doi: 10.1016/j.jobcr.2015.04.004. Epub 2015 Jun 1.

DOI:10.1016/j.jobcr.2015.04.004
PMID:26258018
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4523588/
Abstract

AIM

To fabricate a cost effective, indigenous and simple orthotics helmet for post-operative cranial molding in patients with craniosynostosis surgery.

METHODS

We present a case of 15 month old infant with secondary cranial vault deformity. Cranial vault remodeling surgery involving the posterior skull was planned and executed to increase the posterior gap, so that brain growth would be facilitated towards this empty space. Materials such as thermoplastic sponge, thermoplastic ionomer resin sheet, soft sponge and Velcro straps are used to fabricate a cranial orthotics helmet.

RESULTS

We have successfully used the above materials to fabricate the orthotics helmet for post-operative cranial molding.

CONCLUSION

The technique described in this article is simple and cost effective. It can be custom made according to the demands of the surgical technique and the type of synostosis. It favors an individualistic prognosis, and proves worthwhile as every synostosis requires a unique treatment plan. It is an excellent adjuvant to craniosynostosis remodeling surgery.

摘要

目的

制造一种经济高效、国产化且简易的矫形头盔,用于颅缝早闭手术患者术后的颅骨塑形。

方法

我们展示了一例15个月大患有继发性颅穹窿畸形的婴儿病例。计划并实施了涉及后颅骨的颅穹窿重塑手术,以增加后间隙,从而促进大脑向该空隙生长。使用热塑性海绵、热塑性离聚物树脂片、软海绵和尼龙搭扣带等材料制作了一个颅骨矫形头盔。

结果

我们已成功使用上述材料制作出用于术后颅骨塑形的矫形头盔。

结论

本文所述技术简单且经济高效。它可根据手术技术要求和颅缝早闭类型定制。它有利于个性化预后,并且由于每种颅缝早闭都需要独特的治疗方案,所以证明是值得的。它是颅缝早闭重塑手术的一种出色辅助手段。

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本文引用的文献

1
Helmet therapy in infants with positional skull deformation: randomised controlled trial.头盔治疗婴儿姿势性颅骨变形:随机对照试验。
BMJ. 2014 May 1;348:g2741. doi: 10.1136/bmj.g2741.
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Endoscopic cranial suture release for the treatment of craniosynostosis--is it the future?内镜下颅骨缝松解术治疗颅缝早闭——这会是未来的发展方向吗?
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Endoscope-assisted strip craniectomy and postoperative helmet therapy for treatment of craniosynostosis.内镜辅助颅骨切开术和术后头盔治疗颅缝早闭。
Neurosurg Focus. 2011 Aug;31(2):E5. doi: 10.3171/2011.6.FOCUS1198.
4
Effect of molding helmet on head shape in nonsurgically treated sagittal craniosynostosis.塑形头盔对非手术治疗矢状缝早闭患儿头型的影响
J Neurosurg Pediatr. 2011 Jun;7(6):627-32. doi: 10.3171/2011.4.PEDS116.
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Conservative interventions for positional plagiocephaly: a systematic review.体位性斜头畸形的保守干预措施:一项系统评价
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Assessing asymmetrical infant head shapes.评估婴儿不对称头型。
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8
Auditory ERPs reveal brain dysfunction in infants with plagiocephaly.听觉事件相关电位揭示了扁头畸形婴儿的大脑功能障碍。
J Craniofac Surg. 2002 Jul;13(4):520-5; discussion 526. doi: 10.1097/00001665-200207000-00008.
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Craniosynostosis.颅缝早闭
Clin Radiol. 2002 Feb;57(2):93-102. doi: 10.1053/crad.2001.0836.
10
Endoscopic craniectomy for early correction of craniosynostosis.内镜下颅骨切除术用于早期矫正颅缝早闭。
Plast Reconstr Surg. 1999 Dec;104(7):1965-73; discussion 1974-5. doi: 10.1097/00006534-199912000-00003.