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早发性颅缝早闭的头影测量观察

Cephalometric observations in premature craniosynostosis.

作者信息

Matras H, Watzek G, Perneczky A

出版信息

J Maxillofac Surg. 1977 Nov;5(4):298-303. doi: 10.1016/s0301-0503(77)80122-7.

DOI:10.1016/s0301-0503(77)80122-7
PMID:271189
Abstract

Forty patients with premature craniosynostosis of variable extent and severity were subjected to cephalometry. The majority of the children and adolescents involved had undergone bilateral cranial fenestration at age 6 months to 11 years. Lateral cephalometric radiographs were used for analysis. The measurements obtained were compared with normal values of comparable age groups. In two thirds of the patients examined facial skull growth was found to be impaired, the clinical appearance ranging from pronounced faciostenosis to abortive forms. In some cases the clinical appearance was normal. One of the conclusions derived from the cephalometric data is that inhibited growth primarily affects the anterior portions of the skull base, which are found to be shorter than normal. The defect appears to involve the spheno-ethmoidal, intersphenoidal and sphenofrontal synochondroses.

摘要

对40例程度和严重程度各异的早发性颅骨缝早闭患者进行了头影测量。所涉及的儿童和青少年大多数在6个月至11岁时接受了双侧颅骨开窗术。使用头颅侧位X线片进行分析。将获得的测量值与可比年龄组的正常值进行比较。在三分之二的受检患者中,发现面颅骨生长受损,临床表现从明显的面部狭窄到发育不全的形式不等。在某些情况下,临床表现正常。从头影测量数据得出的结论之一是,生长受抑制主要影响颅底前部,发现其比正常情况短。缺损似乎累及蝶筛、蝶间和蝶额软骨结合。

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