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用于治疗扁头畸形和先天性肌性斜颈的头盔疗法。

Helmet treatment for plagiocephaly and congenital muscular torticollis.

作者信息

Clarren S K, Smith D W, Hanson J W

出版信息

J Pediatr. 1979 Jan;94(1):43-6. doi: 10.1016/s0022-3476(79)80347-9.

DOI:10.1016/s0022-3476(79)80347-9
PMID:758420
Abstract

Plagiocephaly usually originates in late fetal life through aberrant constraint of the fetal head and is often associated with sternocleidomastoid torticollis. In some patients the obligue head shape may become a permanent, cosmetic disability. Individually fitted plastic helmets, similar in style to football helmets, have been successfully used to remold the deformed heads of four infants. Each helmet is designed to fit snugly against the prominent aspects of the infants' cranium and to be loose fitting where the head is shallow. As the brain grows, the head is molded to fit the helmet and thus acquires a more usual shape. The treatment has been safe and effective. When torticollis is persistent after the initiation of treatment, rubber straps can be fixed to the outside of the helmet and attached to the side rails of the crib. While the infant sleeps, the straps can be tightened to stretch the shortened sternocleidomastoid muscle.

摘要

扁头畸形通常始于胎儿晚期,是由于胎儿头部受到异常约束所致,且常与胸锁乳突肌斜颈有关。在一些患者中,头部偏斜的形状可能会成为永久性的外观缺陷。一种样式与橄榄球头盔相似的个性化定制塑料头盔,已成功用于重塑四名婴儿变形的头部。每个头盔的设计都是为了紧密贴合婴儿颅骨突出的部位,而在头部较浅的地方则较为宽松。随着大脑的生长,头部会被塑造成适合头盔的形状,从而获得更正常的形状。这种治疗方法安全有效。如果在治疗开始后斜颈持续存在,可以将橡胶带固定在头盔外部,并连接到婴儿床的侧栏上。当婴儿睡觉时,可以收紧带子以拉伸缩短的胸锁乳突肌。

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