隔离的前面 suture synostoses:两个病例的报告和文献综述
Patricia Alessandra Dastoli1, Wagner Lazaretto Padua2, Thais Cristina de Souza Melo2
1Department of Neurology and Neurosurgery, Federal University of São Paulo, Rua Napoleão de Barros, 715, 6th Floor, São Paulo, SP, CEP, 04024-002, Brazil. paty.dastoli@uol.com.br.
概括
前神经 (FSC) 的孤立过早融合是前脑的罕见原因. 通过CT扫描进行早期诊断和适当的手术干预,无论是开放式还是内镜式,都会带来有利的结果.
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
- 医疗成像医学成像
背景情况:
- 前侧脑症往往被误诊,单侧冠状结合症是常见的原因.
- 隔离的前神经 (FSC) 的过早融合呈现类似的情况,但需要不同的管理.
- 准确的诊断对于适当的治疗和预后至关重要.
研究的目的:
- 对前神经 (FSC) 融合进行全面的文献审查.
- 报告FSC管理的两个新型临床病例.
- 为了比较FSC的开放的前轨前进和内切除术.
主要方法:
- 报告的FSC病例的系统审查.
- 通过3D重建的头骨计算机断层扫描 (CT) 证实了诊断.
- 案例1:开放的前轨道推进;案例2:早期内镜切除术.
主要成果:
- 两位患者都显示出与开放的冠状的隔离前形合.
- 在一个9个月大的公开手术中实现了出色的面对称.
- 在早期诊断的患者内镜治疗产生了有利的美学结果,没有并发症.
结论:
- 前面形 (FSC) 融合是前面头症的一个未被认可的原因.
- 需要对具有开放冠状的非典型头骨不对称性产生高度的临床怀疑.
- 用3D重建的CT对诊断至关重要;这两种手术方法都提供了良好的结果.
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