Esparza Rodríguez J, Cordobés Tapia F, Muñoz Casado M J, Benítez Alvarez A, Salván Saez R, Ochotorena Guindo M J, Corralero Romaguera A
Servicio de Neurocirugía Pediátrica, Hospital Infantil Universitario 12 de Octubre, Madrid.
An Esp Pediatr. 1996 Aug;45(2):143-8.
From 1983 to 1994, a total of 86 patients having scaphocephaly were studied and treated in our Craniofacial Unit. The present study involves 60 patients treated between 1988 and 1994 which were operated upon with the same surgical technique and that which is currently being used in our department. The surgical approach and results are analyzed.
Patients having scaphocephaly represented 47.51% out of the total 181 children having craniosynostosis and craniofacial synostosis during this period. All of the patients were studied with computerized tomography, with 10 of them having continuous monitoring of their intracranial pressure. All children in this series were treated according to a new surgical technique that achieves an "immediate correction" of the malformation.
No patient had abnormal neurological findings and intracranial pressure (ICP) was within normal limits in 0 out of 10 patients having continuous ICP monitoring.
The minimal complications and the excellent cosmetic results have resulted in an optimal surgical technique. The importance of an early diagnosis and surgical treatment of sagittal synostosis is emphasized.
1983年至1994年期间，我们颅面外科共研究并治疗了86例舟状头畸形患者。本研究涉及1988年至1994年间接受治疗的60例患者，他们均采用了相同的外科技术进行手术，该技术也是我们科室目前正在使用的。对手术方法及结果进行了分析。
在此期间，舟状头畸形患者占181例患有颅缝早闭和颅面骨缝早闭儿童总数的47.51%。所有患者均接受了计算机断层扫描检查，其中10例患者进行了颅内压连续监测。本系列所有儿童均采用一种新的外科技术进行治疗，该技术可实现对畸形的“即刻矫正”。
在10例进行颅内压连续监测的患者中，没有患者出现异常神经学表现，且颅内压均在正常范围内。
并发症最少且美容效果极佳，从而形成了一种最佳的外科技术。强调了矢状缝早闭早期诊断和手术治疗的重要性。
