Maggi G, Aliberti F, Pittore L
Division of Neurosurgery, Santobono Children's Hospital, Naples, Italy.
J Neurosurg Sci. 1998 Jun;42(2):119-22.
Several surgical techniques have been described for correction of scaphocephaly. Recent advances in the field of craniofacial surgery have allowed more extensive operative procedures for the treatment of cranial vault anomalies. In general the aim of surgical treatment is to prevent early refusion of the parietal bones after the sagittal craniectomy associated with the widening of the biparietal diameter. In children older than 6 months these procedures may result unsatisfactory providing only a partial correction of the malformation. Therefore operative techniques of total cranial vault reshaping are reported in the literature.
We performed a surgical procedure of biparietal widening and occipital remolding in eight 3 month old infants with a marked deformation of the occipital prominence from sagittal synostosis.
This technique has provided excellent cosmetic results with an immediate correction of the parieto-occipital malformation. There have not been intraoperative complications and the postoperative course was uneventful.
The occipital remolding is useful in young infants with a marked skull deformity; this technique will produce immediate restoration of an esthetically pleasing cranial shape and a more satisfactory cosmetic result compared to less extensive procedures.
已有多种手术技术用于治疗舟状头畸形。颅面外科领域的最新进展使得治疗颅穹窿异常的手术操作范围更广。一般来说，手术治疗的目的是防止在矢状缝颅骨切除术及双顶径增宽后顶骨过早重新融合。对于6个月以上的儿童，这些手术可能效果不佳，只能部分矫正畸形。因此，文献中报道了全颅穹窿重塑的手术技术。
我们对8例3个月大、因矢状缝早闭导致枕部明显突出变形的婴儿进行了双顶径增宽和枕部重塑手术。
该技术取得了极佳的美容效果，即刻矫正了枕部畸形。术中无并发症，术后过程平稳。
枕部重塑对颅骨明显畸形的幼儿有用；与范围较小的手术相比，该技术能即刻恢复美观的颅骨形状，美容效果更令人满意。
