非洲的鼻病:来自8个国家的见解-系统性审查和元分析
Kwadwo Darko1, Sonia Pulido2, Muhammad Ammar Haider3
1Department of Neurosurgery, Korle Bu Teaching Hospital, Accra, Ghana.
World neurosurgery
|December 2, 2024
概括
非洲儿童的骨突症往往呈现为异常的头部形状. 手术治疗显示出良好的结果,并发症和死亡率较低,但需要更多的研究.
科学领域:
- 儿科手术 儿科手术
- 神经外科 神经外科
- 遗传性缺陷 遗传性缺陷是一种先天性缺陷.
背景情况:
- 头骨突起症是一种先天性头骨形,如果不治疗,就会显著影响儿童的发育和生活质量.
- 有限的文献存在于骨突症的表现,治疗和结果,特别是在非洲大陆.
研究的目的:
- 系统地审查和评估关于非洲骨突症的现有文献.
- 了解非洲儿童骨突症的流行病学,临床表现,治疗方法和结果.
主要方法:
- 使用主要数据库进行了系统的文献审查:PubMed/MEDLINE,Scopus,科学网和谷歌学者.
- 该审查遵循了系统审查和元分析 (PRISMA) 的首选报告项目指南.
- 分析了来自8个非洲国家的14项研究 (620名患者) 和14个病例报告 (27例) 的数据.
主要成果:
- 头部形状异常是最常见的表现 (77.8%). 综合性关突症占病例的25.2%.
- 在99.5%的患者中,进行了手术治疗,主要是重塑 (72.9%),并发症率低 (例如,CSF泄漏5.4%,感染4.5%).
- 结果是积极的,95.6%的人表现出变形和神经缺陷的改善;死亡率为3.1%.
结论:
- 研究的稀缺性强调了需要增加对非洲骨突症的研究.
- 开放式手术技术以最小的并发症和低死亡率证明了有效性.
- 增强理解需要早期诊断和协作数据报告,以解决非洲各地的骨突症的负担和变异.
相关概念视频
01:22Sutures of the Skull
6.4K
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...
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...
6.4K
01:14Cranial Bones: Superior and Posterior View
2.1K
The superior view of the cranium shows the frontal and paired parietal bones.
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
2.1K
01:08Overview of the Skull
4.4K
The cranium (skull) is the skeletal structure of the head that supports the face and protects the brain. It is subdivided into the facial bones and the brain case, or cranial vault. The facial bones underlie the facial structures, form the nasal cavity, enclose the eyeballs, and support the teeth of the upper and lower jaws.
The cranial vault surrounds and protects the brain and houses the middle and inner ear structures. This cavity is bounded superiorly by the rounded top of the skull, which...
The cranial vault surrounds and protects the brain and houses the middle and inner ear structures. This cavity is bounded superiorly by the rounded top of the skull, which...
4.4K
01:27Cranial Bones: Lateral View
2.1K
The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
2.1K