Raposo-Amaral Cassio Eduardo, Denadai Rafael, Takata João Paulo Issamu, Ghizoni Enrico, Buzzo Celso Luiz, Raposo-Amaral Cesar Augusto
Institute of Plastic and Craniofacial Surgery, SOBRAPAR Hospital, Av. Adolpho Lutz, 100, Caixa Postal: 6028, Campinas, São Paulo, 13084-880, Brazil.
Division of Pediatric Neurosurgery, Department of Neurology, School of Medical Sciences, State University of Campinas (UNICAMP), Campinas, São Paulo, Brazil.
Childs Nerv Syst. 2016 Feb;32(2):337-44. doi: 10.1007/s00381-015-2914-0. Epub 2015 Sep 26.
The purpose of this study was to quantify the changes in frontal morphology in patients with scaphocephaly treated with a modified Pi procedure.
Consecutive scaphocephalic patients (n = 13) who underwent surgery before 12 months of age that had more than 1 year of follow-up and standard preoperative, 3-month, and 1-year photographs were included. Anthropometric measurements were used to document the craniofacial index. Computerized photogrammetric analyses of five craniofacial angles (bossing angle, nasofrontal angle, angle of facial convexity, and angle of total facial convexity) were also performed.
Comparisons of the preoperative and postoperative direct anthropometric measurements of the cephalic index showed a significant (all p < 0.05) increase in the postoperative period, with no significant differences in early versus late postoperative period comparisons. Comparisons of the preoperative and postoperative computerized photogrammetric measurements of the craniofacial angles showed a significant (all p < 0.05) reduction (bossing angle, angle of facial convexity, and angle of total facial convexity) and increase (nasofrontal angle) in the early and late postoperative periods.
Frontal morphology significantly changed over the first year of the modified Pi procedure.
本研究的目的是量化采用改良Pi手术治疗的舟状头畸形患者额部形态的变化。
纳入12个月龄前接受手术且随访超过1年的连续舟状头畸形患者（n = 13），并收集标准术前、术后3个月和1年的照片。采用人体测量学方法记录颅面指数。还对五个颅面角（隆起角、鼻额角、面部凸度角和全脸凸度角）进行了计算机摄影测量分析。
对头指数术前和术后直接人体测量结果的比较显示，术后期间有显著增加（所有p < 0.05），术后早期与晚期比较无显著差异。对颅面角术前和术后计算机摄影测量结果的比较显示，术后早期和晚期有显著降低（隆起角、面部凸度角和全脸凸度角）和增加（鼻额角）（所有p < 0.05）。
在改良Pi手术的第一年，额部形态发生了显著变化。
