内镜辅助颅缝早闭手术，术后进行头盔治疗。
Endoscopy-assisted craniosynostosis surgery followed by helmet therapy.
作者信息
Delye H H K, Borstlap W A, van Lindert E J
机构信息
Department of Neurosurgery, Radboudumc Nijmegen, The Netherlands.
Department Oral and Maxillofacial Surgery, Radboudumc Nijmegen, The Netherlands.
出版信息
Surg Neurol Int. 2018 Mar 7;9:59. doi: 10.4103/sni.sni_17_18. eCollection 2018.
BACKGROUND
Surgical methods to treat craniosynostosis have evolved from a simple strip craniectomy to a diverse spectrum of partial or complete cranial vault remodeling with excellent results but often with high comorbidity. Therefore, minimal invasive craniosynostosis surgery has been explored in the last few decades. The main goal of minimal invasive craniosynostosis surgery is to reduce the morbidity and invasiveness of classical surgical procedures, with equal long-term results, both functional as well as cosmetic.
METHODS
To reach these goals, we adopted endoscopy-assisted craniosynostosis surgery (EACS) supplemented with helmet molding therapy in 2005.
RESULTS
We present in detail our surgical technique used for scaphocephaly, trigonocephaly, plagiocephaly, complex multisutural, and syndromic cases of craniosynostosis.
CONCLUSIONS
We conclude that EACS with helmet therapy is a safe and suitable treatment option for any type of craniosynostosis, if performed at an early age, preferably around 3 months of age.
背景
治疗颅缝早闭的手术方法已从简单的颅骨条带切除术发展为多种局部或全颅骨重塑手术，效果良好，但通常并发症发生率较高。因此，在过去几十年中人们一直在探索微创颅缝早闭手术。微创颅缝早闭手术的主要目标是降低传统手术的发病率和侵袭性，同时在功能和美容方面取得同等的长期效果。
方法
为实现这些目标，我们于2005年采用了内镜辅助颅缝早闭手术（EACS）并辅以头盔塑形疗法。
结果
我们详细介绍了用于舟状头、三角头、斜头、复杂多缝及综合征性颅缝早闭病例的手术技术。
结论
我们得出结论，如果在早期，最好是在3个月左右进行手术，那么内镜辅助颅缝早闭手术加头盔治疗是治疗任何类型颅缝早闭的一种安全且合适的治疗选择。
Zotero 插件