在单冠状同位症中变形性脑的发生率和形态学
Hyok Jun Kwon1, Roland Deek, Lachlan D M Farmer
1Cleft and Craniofacial South Australia, Women's and Children's Hospital, North Adelaide, Adelaide, Australia.
The Journal of craniofacial surgery
|September 17, 2024
概括
单冠状结合症和变形性脑性脑常常同时存在. 变形性脑症不会影响单角性阴位症患者的头骨或轨道形状.
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
- 发育生物学是发展生物学.
背景情况:
- 单冠状结合症和变形头症 (DP) 是影响婴儿头部形状的不同疾病.
- 患有独角兽同位症和DP的患者的同时发生和特异性仍未得到充分研究.
- 了解这种重叠对于准确的诊断和管理至关重要.
研究的目的:
- 调查联合独角兽同位症和DP的发生率和表型表现.
- 分析DP对独角兽同位症患者内和轨道形态学的影响.
- 在这个患者队列中描述ipsilateral和contralateral DP之间的差异.
主要方法:
- 对被诊断患有独角兽同位症的患者的回顾性审查.
- 分析3D计算机断层扫描 (3DCT) 扫描以确定DP的存在和类型.
- 在所有被纳入的患者中评估内和轨道形态.
主要成果:
- 有一个显著的比例 (38.4%) 的单角性同位症患者也出现了DP.
- 阴性边缘DP的频率低于反边缘DP.
- 患有ipsilateral DP的患者表现出由于额头不对称性减少而延迟表现的倾向.
- 在独角兽同位症的背景下,变形性脑并没有显著改变内或轨道形态.
结论:
- 在儿科患者中,单冠结合症和DP经常一起发生.
- 无论侧面状况如何,DP的存在都不会影响独角兽同位症中底层的头骨或轨道形态.
- 临床表现,特别是额头不对称,可能会根据DP横向性而有所不同.
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