Boop F A, Shewmake K, Chadduck W M
Division of Pediatric Neurosurgery, Arkansas Children's Hospital, Little Rock 72202, USA.
Childs Nerv Syst. 1996 Jul;12(7):371-5. doi: 10.1007/BF00395087.
Although pediatric neurosurgeons traditionally have been trained to perform a sagittal synostectomy for the treatment of sagittal synostosis, numerous articles advocating modifications of this procedure or more complex cranial vault reconstructions point our the inadequacies of strip craniectomy in providing optimal short- and long-term cosmesis. This review addresses the major arguments for and against performing complex cranioplasties for sagittal synostosis, as well as issues regarding timing of surgery, mortality and morbidity, increased need for blood transfusion, and increased expense. The authors support the contention that for the majority of infants with sagittal synostosis, complex calvarial vault reconstruction provides a better outcome with little increase in operative risk.
尽管传统上儿科神经外科医生接受的培训是进行矢状缝切除术来治疗矢状缝早闭，但众多主张对该手术进行改良或采用更复杂的颅穹窿重建术的文章指出，条状颅骨切除术在提供最佳的短期和长期美容效果方面存在不足。本文综述了支持和反对针对矢状缝早闭进行复杂颅骨成形术的主要论点，以及手术时机、死亡率和发病率、输血需求增加和费用增加等问题。作者支持这样的观点，即对于大多数矢状缝早闭的婴儿来说，复杂的颅穹窿重建术能带来更好的结果，且手术风险增加不多。
