Wang Catherine Y, Bonaroti Alisha R, Miller Brandon A, Liau James
Departments of Neurosurgery and.
Plastic Surgery, University of Kentucky, Lexington, Kentucky.
Neurosurg Focus Video. 2021 Apr 1;4(2):V14. doi: 10.3171/2021.1.FOCVID20104. eCollection 2021 Apr.
Sagittal craniosynostosis, the most common form of craniosynostosis, affects 1 per 1000 live births. The main surgical treatments include endoscopic suturectomy and open cranial vault remodeling. This video describes an open reconstruction method, including strip resection of the sagittal suture, biparietal craniotomies with spiral cut cranioplasty, and barrel staves of the posterior occiput. Ideally used between 4 and 15 months of age, this approach takes advantage of the flexibility of the cranial bones to expand, allowing for immediate and long-term increases of the parietal width and correction of cosmetic deformity, without necessitating the use of cranial molding devices postoperatively. The video can be found here: https://vimeo.com/516699203.
矢状缝早闭是最常见的颅缝早闭形式，每1000例活产儿中就有1例受影响。主要的手术治疗方法包括内镜下缝切除术和开放性颅穹窿重塑术。本视频介绍了一种开放性重建方法，包括矢状缝条状切除术、双额开颅螺旋切开颅骨成形术以及枕后部的桶状骨条。该方法理想的使用年龄为4至15个月，它利用颅骨的柔韧性来扩张，可使顶骨宽度立即和长期增加，并矫正外观畸形，术后无需使用颅骨塑形装置。视频链接如下：https://vimeo.com/516699203 。
