斜面关突:根据干预时的年龄进行治疗和结果
Camila Franco-Mesa1, Nikhil R Shah1, Petros Konofaos2
1Division of General Surgery, University of Texas Medical Branch.
The Journal of craniofacial surgery
|September 29, 2023
概括
对于非综合征性单针松骨突症的治疗方法因年龄而异. 最少侵入性手术适合较小的婴儿,而较大的儿童通常接受开放的头骨重建,尽管没有任何一种技术是绝对优越的.
科学领域:
- 神经外科 神经外科
- 儿科手术 儿科手术
- 面外科手术 面外科手术
背景情况:
- 无综合症单的斜头骨突是常见的一种先天性疾病.
- 治疗策略和结果可能会受到患者在干预时的年龄的影响.
- 最佳的手术时间和技术仍然是正在进行的调查领域.
研究的目的:
- 系统地审查和描述治疗策略和非综合征性单针松骨突起症的结果.
- 分析患者干预年龄对手术方法和结果的影响.
- 根据年龄队列确定手术技术的趋势.
主要方法:
- 对MEDLINE,Scopus和Cochrane控制试验中心注册的系统文献搜索.
- 纳入标准:非综合征性单针松骨关节同位症,至少12个月的随访,每队至少25名患者,首次手术.
- 使用ROBINS-I进行偏差风险评估;根据干预时的年龄对研究进行分类 (0-6,>6-12,>12个月).
主要成果:
- 对涉及3316名患者的49份手稿进行分析.
- 最少侵入性手术仅在最年轻的队列 (0-6个月) 中使用.
- 在老年人群 (>6-12个月和>12个月) 中,开放的头骨重建更为常见.
- 内镜和保守的开放手术适合年轻患者;复杂的开放重建是适合老年患者.
结论:
- 根据患者在干预时的年龄,萨吉塔骨突症的治疗策略有显著差异.
- 年龄较小的婴儿是最小侵入性或内镜方法的候选人.
- 较大的儿童通常接受开放的头骨重建,但证据不支持单一的优秀技术.
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