Ghizoni Enrico, Denadai Rafael, Raposo-Amaral Cesar Augusto, Joaquim Andrei Fernandes, Tedeschi Helder, Raposo-Amaral Cassio Eduardo
Universidade Estadual de Campinas (Unicamp), Campinas, SP, Brasil.
Instituto de Cirurgia e Plástica Crânio Facial, Hospital Sobrapar, Campinas, SP, Brasil.
Rev Paul Pediatr. 2016 Dec;34(4):495-502. doi: 10.1016/j.rpped.2016.01.004. Epub 2016 May 12.
To review the current comprehensive care for nonsyndromic craniosynostosis and nonsynostotic cranial deformity and to offer an overall view of these craniofacial conditions.
The review was conducted in the PubMed, SciELO, and LILACS databases without time or language restrictions. Relevant articles were selected for the review.
We included the anatomy and physiology of normal skull development of children, discussing nuances related to nomenclature, epidemiology, etiology, and treatment of the most common forms of nonsyndromic craniosynostosis. The clinical criteria for the differential diagnosis between positional deformities and nonsyndromic craniosynostosis were also discussed, giving to the pediatrician subsidies for a quick and safe clinical diagnosis. If positional deformity is accurately diagnosed, it can be treated successfully with behavior modification. Diagnostic doubts and craniosynostosis patients should be referred straightaway to a multidisciplinary craniofacial center.
Pediatricians are in the forefront of the diagnosis of patients with cranial deformities. Thus, it is of paramount importance that they recognize subtle cranial deformities as it may be related to premature fusion of cranial sutures.
回顾目前对非综合征性颅缝早闭和非颅缝早闭性颅骨畸形的综合治疗，并对这些颅面疾病进行全面概述。
本综述在PubMed、SciELO和LILACS数据库中进行，无时间或语言限制。选择相关文章进行综述。
我们纳入了儿童正常颅骨发育的解剖学和生理学内容，讨论了与非综合征性颅缝早闭最常见形式的命名、流行病学、病因学和治疗相关的细微差别。还讨论了体位性畸形与非综合征性颅缝早闭鉴别诊断的临床标准，为儿科医生提供快速、安全临床诊断的依据。如果体位性畸形得到准确诊断，可通过行为矫正成功治疗。诊断存疑的患者和颅缝早闭患者应立即转诊至多学科颅面中心。
儿科医生处于颅骨畸形患者诊断的前沿。因此，他们识别细微的颅骨畸形至关重要，因为这可能与颅缝过早融合有关。
