Jimenez D F, Barone C M
Division of Neurological Surgery, University Hospitals and Clinics, University of Missouri, Columbia 65212, USA.
J Neurosurg. 1998 Jan;88(1):77-81. doi: 10.3171/jns.1998.88.1.0077.
The authors sought to minimize scalp incisions, blood loss, and operative time by using endoscopically assisted strip craniectomies and barrel-stave osteotomies to treat infants with sagittal suture synostosis.
Four patients, aged 2, 4, 9, and 12 weeks, who presented with scaphocephaly underwent endoscopic midline craniectomies through small midline scalp incisions. The mean operative time for the procedure was 1.68 hours (range 1.15-2.8 hours); the mean blood loss was 54.2 ml (range 12-150 ml). Three patients did not require blood transfusions and were discharged within 24 hours. Postoperatively, all patients were fitted with custom cranial molding helmets. Follow-up evaluation ranged between 8 and 15 months. All patients had successful correction of their scaphocephaly with no mortalities, morbidities, or complications.
The use of endoscopic techniques for early correction of sagittal synostosis is safe; decreases blood loss, operative time, and hospitalization costs; and provides excellent early surgical results.
作者试图通过使用内镜辅助的条状颅骨切除术和桶状骨切开术来治疗矢状缝早闭的婴儿，以尽量减少头皮切口、失血量和手术时间。
4例年龄分别为2周、4周、9周和12周的舟状头畸形患儿，通过头皮中线小切口接受了内镜下中线颅骨切除术。该手术的平均手术时间为1.68小时（范围为1.15 - 2.8小时）；平均失血量为54.2毫升（范围为12 - 150毫升）。3例患者无需输血，并在24小时内出院。术后，所有患者均佩戴定制的颅骨塑形头盔。随访评估时间为8至15个月。所有患者的舟状头畸形均得到成功矫正，无死亡、发病或并发症发生。
使用内镜技术早期矫正矢状缝早闭是安全的；可减少失血量、手术时间和住院费用；并能提供出色的早期手术效果。
