综合性头骨测量,以检测松突
Jason A Ramsey1,2, Phillip M Stevens3,4, Brittany Coats5
11Hanger Clinic, Nashville, Tennessee.
Neurosurgical focus
|January 1, 2025
概括
新的光学表面扫描指标有效地评估在接受骨重塑整形 (CRO) 治疗的婴儿中形突变的纠正. 这些新型测量方法可以更好地量化头部形状异常和治疗结果.
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
- 医学成像医学成像
背景情况:
- 斜面突是最常见的突,导致头部明显变形.
- 传统的头指数在评估严重程度和纠正时的可靠性有限.
- 需要新的指标来准确评估治疗结果.
研究的目的:
- 使用光学表面扫描 (OSS) 技术来概念化和评估新型指标.
- 评估骨重塑整形 (CRO) 治疗的有效性.
主要方法:
- 对25名接受了内镜辅助切除头骨和CRO治疗的婴儿进行了回顾性审查.
- 在手术前和CRO治疗后获得OSS头部扫描.
- 开发和应用四种新型指标:尾轮角,顶点比例指数,顶部-部指数和前部指数.
- 治疗前后指数与33名婴儿的对照组进行比较.
主要成果:
- 所有四个新型指数都显示出与治疗后和对照组相比,治疗前显著的差异.
- 在治疗后,与对照组相比,尾轮角,顶角指数和前额指数没有显著差异.
- 顶部比例指数在统计学上仍与对照组不同,尽管顶部抑郁的平均校正.
结论:
- 带有CRO的内镜辅助脑膜切除术有效地改善了斜突变形.
- 头部形状异常因人而异,需要采用多度测量方法进行评估.
- 新型OSS支持的骨测量技术有助于患者特定的骨突症的治疗管理和治疗计划.
相关概念视频
Cranial Bones: Superior and Posterior View
1.8K
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,...
1.8K
Sutures of the Skull
5.8K
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...
5.8K
Cranial Bones: Lateral View
1.9K
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...
1.9K
Overview of the Skull
4.0K
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...
4.0K


