Yasonov Sergey Alexandrovich, Lopatin Andrey Vyacheslavovich, Kugushev Alexandr Yurievich
Department of Cranio-Maxillofacial Surgery, Federal State Budgetary Organization, Russian Children's Clinical Hospital, Moscow, Russia.
Ann Maxillofac Surg. 2017 Jul-Dec;7(2):222-227. doi: 10.4103/ams.ams_96_17.
The aim of this study is to compare clinical features of sphenofrontal craniosynostosis (SFC) and unilateral coronary craniosynostosis.
This was a retrospective study with two groups of patients with sphenofrontal and coronary craniosynostosis.
This was a retrospective study of the 1999-2016 archive data in Russian Children's Clinical Hospital. Ninety-five patients were diagnosed with frontal plagiocephaly. Eighty-three had deformations of unilateral craniosynostosis of coronary suture, 12 had premature closures of sphenofrontal suture. The age at the time of diagnosis varied from 5 months to 2, 5 years.
SFC is featured by ipsilateral flattening of forehead and supraorbital margin, and ipsilateral dystopia of supraorbital margin downward. X-ray signs are the closure of sphenofrontal suture on the lesion side with open and symmetrically located remaining skull sutures and contralateral deviation of the midline of the ethmoid.
SFC distinguishes from other plagiocephalias by following signs: supraorbital margin on the affected side is shifted downward; tip of the nose is displaced toward the affected side, root of the nose toward the healthy side. These signs facilitate correct diagnosis and treatment tactics.
本研究旨在比较蝶额缝早闭（SFC）和单侧冠状缝早闭的临床特征。
这是一项对两组蝶额缝和冠状缝早闭患者的回顾性研究。
这是一项对俄罗斯儿童临床医院1999年至2016年存档数据的回顾性研究。95例患者被诊断为额部斜头畸形。83例有单侧冠状缝早闭畸形，12例有蝶额缝过早闭合。诊断时的年龄从5个月到2.5岁不等。
SFC的特征为患侧前额和眶上缘扁平，患侧眶上缘向下异位。X线征象为病变侧蝶额缝闭合，其余颅骨缝开放且对称，筛骨中线向对侧偏移。
SFC与其他斜头畸形的区别在于以下征象：患侧眶上缘向下移位；鼻尖向患侧移位，鼻根向健侧移位。这些征象有助于正确诊断和制定治疗策略。
