Bonfield Christopher M, Cochrane D Douglas, Singhal Ash, Steinbok Paul
Division of Pediatric Neurosurgery, Department of Surgery, University of British Columbia and BC Children's Hospital, Vancouver, British Columbia, Canada.
J Neurosurg Pediatr. 2015 Nov;16(5):564-566. doi: 10.3171/2015.5.PEDS15157. Epub 2015 Aug 28.
Sagittal craniosynostosis, the most common single suture craniosynostosis, is treated by numerous surgical techniques. Minimally invasive endoscopy-assisted procedures with postoperative helmeting are being used with reports of good cosmetic outcomes with decreased morbidity, shortened hospital stay, and less blood loss and transfusion. This procedure uses small skin incisions, which must be properly placed to provide safe access to the posterior sagittal and lambdoid sutures. However, the lambda is often hard to palpate through the skin due to the abnormal head shape. The authors describe their experience with the use of intraoperative, preincision ultrasound localization of the lambda in patients with scaphocephaly undergoing a minimally invasive procedure. This simple technique can also be applied to other operations where proper identification of the cranial sutures is necessary.
矢状缝早闭是最常见的单缝早闭，有多种手术技术可用于治疗。微创内镜辅助手术联合术后佩戴头盔的方法正在被应用，有报道称其美容效果良好，发病率降低，住院时间缩短，失血量和输血量减少。该手术采用小切口皮肤切口，切口位置必须恰当，以便安全进入后矢状缝和人字缝。然而，由于头部形状异常，人字缝常常难以通过皮肤触诊。作者描述了他们在患有舟状头畸形的患者接受微创手术时，使用术中、切口前超声定位人字缝的经验。这种简单技术也可应用于其他需要准确识别颅骨缝线的手术。
