相关实验视频

Updated: Jun 26, 2025

Author Spotlight: Development and Evaluation of a Standardized Rat Model for Calvarial Suture-Bony Composite Defects

Author Spotlight: Development and Evaluation of a Standardized Rat Model for Calvarial Suture-Bony Composite Defects

Published on: May 10, 2024

如何处理偶然发现的合的斜 suture:一个修改的德尔菲研究研究

Sarah N Chiang^1,2, Jocelyn Reckford¹, Allyson L Alexander³

¹1Department of Surgery, Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, Missouri.

Journal of neurosurgery. Pediatrics

|May 10, 2024

概括

在儿童中,形的过早融合需要谨慎的管理. 对于18个月以上没有症状的人来说,通常不建议进行手术,但对于年幼的孩子来说,建议共享决策.

科学领域:

儿科神经外科儿科神经外科
面外科手术面外科手术
发育儿科发育儿科

背景情况:

在高达5%的正常头脑儿童中,形的过早融合会发生.
这一发现的临床意义和最佳管理尚未得到充分确立.
需要一个多中心的共识来指导治疗和监测.

研究的目的:

为了建立一个多中心的共识,在管理偶然发现的早发性融合的松部.
为这种情况开发最佳的治疗和监测算法.
为了调查神经外科医生和专门从事骨突术的整形外科医生的专家意见.

主要方法:

一种经过修改的Delphi方法,涉及四轮匿名调查和公开讨论.
专家小组成员包括来自9个机构的10名神经外科医生和9名整形外科医生.
患者的案例研究偶尔合的斜 sutures被提交给衡量管理偏好.

主要成果:

93%的外科医生更喜欢使用术语"刺骨的过早融合".
达成共识:在没有增加内压力 (ICP) 的迹象的情况下,在18个月以上的患者中不进行手术.
对于18个月以下的婴儿,建议与护理人员就潜在的手术进行共享决策.

结论:

通过使用德尔菲方法来管理形的过早融合,达成了共识.
18个月以上无症状患者不建议进行外科手术.
共同决策对于18个月以下的儿童至关重要,考虑到头部形状和神经发育问题.

关键词:

一致的共识共识.头骨面部面部头骨面部头骨突突症 (craniosynostosis) 是一种萨吉塔尔的同位素.调查调查调查调查调查调查调查调查

更多相关视频

Author Spotlight: PEGASOS Tissue Clearing Technique to Visualize Bone Remodeling

Author Spotlight: PEGASOS Tissue Clearing Technique to Visualize Bone Remodeling

Published on: August 18, 2023

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

相关概念视频

Sutures of the Skull

Sutures of the Skull

The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...