Sutton L N, Barlett S P, Duhaime A C, Markakis D
Children's Hospital of Philadelphia, PA 19104.
Pediatr Neurosurg. 1993 Mar-Apr;19(2):63-72. doi: 10.1159/000120702.
A technique is described for the surgical correction of primary of secondary sagittal synostosis in the older child. This involves placing the patient in the modified prone position, reshaping the supraorbital bar, and reconstructing virtually the entire cranial vault with microplates. This technique of total cranial vault reconstruction has been performed successfully on 5 patients without mortality or significant morbidity, although blood loss is significant, averaging 1.8 blood volumes. Further experience will be needed to establish the proper indications for the procedure, the best method of fixation, and the optimal timing.
本文描述了一种针对大龄儿童原发性或继发性矢状缝早闭进行手术矫正的技术。该技术包括将患者置于改良俯卧位，重塑眶上缘，并使用微型钢板对几乎整个颅顶进行重建。尽管失血量很大，平均为1.8个血容量，但这种全颅顶重建技术已成功应用于5例患者，无一例死亡或出现严重并发症。需要更多的经验来确定该手术的合适适应症、最佳固定方法和最佳手术时机。
