Jimenez David F
Pediatric Neurosurgery, El Paso Children's Hospital, El Paso, Texas.
Neurosurg Focus Video. 2021 Apr 1;4(2):V12. doi: 10.3171/2021.1.FOCVID20131. eCollection 2021 Apr.
Lambdoid craniosynostosis leads to significant deformational changes of the calvaria and cranial fossae. Surgery used to treat the condition typically consists of a calvarial vault remodeling (CVR) procedure whereby the entire occiput is removed and reshaped along with a bandeau advancement to give the patient a rounded occiput. As an option, this video presents the minimally invasive endoscopic craniectomy used at the author's institution, which was developed there and has been successfully used for 25 years. This procedure is simple and can be done rapidly, with minimal to no blood loss. The video details the key steps necessary to successfully perform the procedure. The video can be found here: https://vimeo.com/515746378.
人字缝早闭会导致颅骨和颅窝发生显著的变形改变。过去用于治疗该病症的手术通常包括颅骨穹窿重塑（CVR）手术，即切除整个枕骨并进行重塑，同时推进骨膜条带，以使患者拥有圆润的枕骨。作为一种选择，本视频展示了作者所在机构使用的微创内镜颅骨切除术，该手术是在那里研发的，并且已经成功使用了25年。此手术操作简单，能够快速完成，出血量极少甚至无出血。该视频详细介绍了成功实施该手术所需的关键步骤。视频链接如下：https://vimeo.com/515746378 。
