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舟状头畸形:美学与社会心理因素考量

Scaphocephaly: aesthetic and psychosocial considerations.

作者信息

Barritt J, Brooksbank M, Simpson D

出版信息

Dev Med Child Neurol. 1981 Apr;23(2):183-91. doi: 10.1111/j.1469-8749.1981.tb02440.x.

DOI:10.1111/j.1469-8749.1981.tb02440.x
PMID:6163675
Abstract

A series of 48 children with scaphocephaly has been reviewed. 44 had synostosis of the sagittal suture alone, and four had additional involvement of other sutures. Although six children showed significant developmental delay, with eventual mental retardation in five cases, it does not appear that this is caused by mechanical constriction of the brain. In the majority of cases, scaphocephaly appears to be a benign variant in cranial development. Operation by linear craniectomy was performed for cosmetic reasons in 14 cases, and in general the results were good. Operation was not performed in the other 34 cases, including 15 seen in infancy, and review of these has shown a high incidence of anxiety among parents and children. Therefore there is an acceptable case for cosmetic correction of severe scaphocephaly in infancy.

摘要

对48例舟状头畸形患儿进行了回顾性研究。44例仅矢状缝早闭,4例合并其他缝线受累。虽然6例患儿有明显发育迟缓,其中5例最终出现智力低下,但似乎并非由大脑机械性受压所致。在大多数情况下,舟状头畸形似乎是颅骨发育中的一种良性变异。14例因美容原因行线性颅骨切除术,总体效果良好。其他34例未手术,包括15例婴儿期病例,对这些病例的复查显示家长和患儿焦虑发生率较高。因此,对于婴儿期严重舟状头畸形进行美容矫正有一定的合理性。

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