Vollmer D G, Jane J A, Park T S, Persing J A
J Neurosurg. 1984 Sep;61(3):557-62. doi: 10.3171/jns.1984.61.3.0557.
Sagittal synostosis is discussed with respect to the variations seen with the deformity. The morphological spectrum ranging from marked frontal bossing to prominent occipital bulging is described. Surgical techniques have been specifically designed for these variants. These techniques provide an immediate correction of scaphocephaly, and achieve a reduction of the specific deformity with morbidity comparable to that associated with conventional operations. The lack of large areas of craniectomy and the avoidance of synthetic materials are cited as additional advantages of these techniques. The importance of altering the surgical approach to the specific clinical problem is underscored. Two illustrative cases of sagittal synostosis variants are described, and recent experience with the modified operative techniques in treating these and similar cases is discussed.
本文讨论了矢状缝早闭的畸形变异情况。描述了从明显的额部隆起至显著的枕部膨隆的形态学范围。针对这些变异专门设计了手术技术。这些技术可立即矫正舟状头畸形，并减少特定畸形，其发病率与传统手术相当。这些技术的额外优势包括无需大面积颅骨切除术以及避免使用合成材料。强调了根据具体临床问题改变手术方法的重要性。描述了两例矢状缝早闭变异的典型病例，并讨论了改良手术技术治疗这些病例及类似病例的近期经验。
