Birgfeld Craig B, Heike Carrie
Seattle Children's Hospital, University of Washington, Seattle, WA, USA.
Craniomaxillofac Trauma Reconstr. 2020 Dec;13(4):248-252. doi: 10.1177/1943387520965801. Epub 2020 Nov 18.
The cause of occipital asymmtery can be either extrinsic or intrinsic. Intrinsic causes include lambdoid craniosynsotosis. This condition is generally treated with cranial vault expansion surgery. Extrinsic causes include deformational plagiocephaly, which became commonplace after the "Back to Sleep Campaign" instituted in the 1980s by the American Academy of Pediatrics. The treatment of this condition is non surgical. Dr. Joseph Gruss was instumental in differentiating between these conditions and reducing the number of unnecessary surgeries that were previously being performed.
枕部不对称的原因可以是外在的,也可以是内在的。内在原因包括人字缝早闭。这种情况通常采用颅骨扩张手术治疗。外在原因包括变形性斜头畸形,自20世纪80年代美国儿科学会发起“仰卧睡眠运动”后,这种情况变得很常见。这种情况的治疗是非手术的。约瑟夫·格鲁斯医生在区分这些情况以及减少此前进行的不必要手术数量方面发挥了重要作用。