Department of Pediatrics, Division of Craniofacial Medicine, University of Washington and Seattle Children's Hospital, 4800 Sand Point Way NE, M/S OB.9.520, PO Box 5371, Seattle, WA 98145-5005, USA.
Department of Pediatrics, Division of Craniofacial Medicine, University of Washington and Seattle Children's Hospital, 4800 Sand Point Way NE, M/S OB.9.520, PO Box 5371, Seattle, WA 98145-5005, USA.
Oral Maxillofac Surg Clin North Am. 2022 Aug;34(3):341-352. doi: 10.1016/j.coms.2022.02.001. Epub 2022 Jul 2.
Craniosynostosis, the premature fusion of the infant cranial skulls, can be recognized by characteristic head shape differences that worsen with head growth. Craniosynostosis can be syndromic or nonsyndromic and can involve one suture or multiple sutures. Timely cranial vault surgery is recommended to expand and reshape the skull, with a goal of preventing increased intracranial pressure and providing sufficient space for brain growth. Several gene variants and environmental exposures are known to increase the risk of single suture craniosynostosis (SSC), including in utero constraint, exposure to specific toxins and medications, and medical conditions such as thyroid dysregulation and metabolic bone disorders.
颅缝早闭是婴儿颅盖骨过早融合,其特征为头部形状改变,且随头颅生长而逐渐加重。颅缝早闭可分为综合征型或非综合征型,可累及单一缝或多缝。建议及时行颅盖骨手术以扩大和重塑颅骨,从而预防颅内压增高并为脑生长提供足够空间。目前已知多种基因变异和环境暴露可增加单一颅缝早闭(SSC)的风险,包括宫内限制、暴露于特定毒素和药物,以及甲状腺功能失调和代谢性骨疾病等疾病。