形态测量分析和后脑背部分心后的结果在综合征性和多重突性脑突症
Sultan Al-Shaqsi1, Jessica A Ching2, Christine B Novak1
1Division of Plastic & Reconstructive Surgery, The Hospital for Sick Children, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
|November 7, 2023
概括
后脑分心骨质生成有效地增加了头骨体积,并纠正了儿童的头骨突. 这种安全的第一阶段手术对脑内压力增加的综合征病例有益.
科学领域:
- 面外科手术 面外科手术
- 儿科神经外科 儿科神经外科
- 整形手术 整形手术 整形手术
背景情况:
- 突头是综合症和多头骨突的常见病例.
- 传统的治疗方法包括全面的头骨形重塑和前轨道推进.
- 使用后脑分心的分阶段方法提供了可控的垂直维度减小和体积膨胀.
研究的目的:
- 用分心骨质生成来评估后脑扩张的结果.
- 评估这项技术作为儿科中心的主要手术的有效性.
主要方法:
- 以后回顾后脑分心病例 (2008-2022年) 的回顾.
- 从CT扫描中对头指数 (TI) 和后脑体积 (PCV) 的形态测量分析.
- 关联的临床结果和并发症.
主要成果:
- 包括41名患者 (平均年龄为11个月) 患有综合征性 (n=32) 和非综合征性 (n=9) 头骨突.
- 头是主要的指示 (63%).
- 平均分散注意力:25.9毫米;平均TI下降:18%;平均PCV增加:19.7%. 13名患者 (32%) 出现并发症,没有死亡.
结论:
- 后脑分心骨质生成有效增加内体积,并纠正头.
- 这是一种安全有效的第一阶段头骨手术,用于患有综合性头骨突症的儿童,特别是那些头骨内压力增加的儿童.
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