摘要
目的探讨额蝶缝和鳞状缝早闭引起的斜头畸形的诊断和治疗方法。方法①额蝶缝早闭：若为6个月以下患儿，可戴矫形帽矫正3个月，如无效再行手术治疗，其方法与一般斜头畸形的手术方法相同，但患侧额眶桥是水平前移。②鳞状缝早闭：采用戴矫形帽法，但要将帽的受力点设在健侧的顶和额部，1个月调整1次，共佩戴6个月。结果2005至2012年共收治5例，经三维CT诊断3例为额蝶缝早闭，均接受了手术治疗，外形满意；2例为鳞状缝早闭，经给予矫形帽治疗，头型基本获得矫正。结论额蝶缝和鳞状缝早闭是一种较少见的引起斜头畸形的原因，早期可戴矫形帽治疗，但额蝶缝早闭再手术的可能性较大，鳞状缝早闭大多数可以通过戴矫形帽的治疗痊愈。
Objective To investigate the diagnosis and management of plagiocephaly resulted from frontosphenoidal synostosis and squamosal suture synostosis. Methods For frontosphenoidal synostosis, orthotic nolding therapy should be selected for patients under 3-month-old. If it can＇ t make effect after treatment for 3 months, transcranial surgery should be adopted with the horizontal advancement of orbito- frontal bar at the affected side. Patients with squamosal suture synostosis should receive orthotic molding therapy for six month, remolding the cap every month. Results From 2005 to 2012, five patients were treated with satisfactory result, including 3 patients with frontosphenoidal synostosis who received surgery and 2 patiens with squamosal suture synostosis who receive orthotic molding therapy only. Conclusions Few patients with plagioeephaly are caused by frontosphenoidal synostosis and squamosal suture synostosis. The orthotic molding therapy should be selected at an early time, but mostly, surgery may be needed for frontosphenoid synostosis.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2012年第6期407-410,共4页
Chinese Journal of Plastic Surgery
关键词
斜头畸形
额蝶缝早闭
鳞状缝早闭
Plagiocephaly
Frontosphenoidal synostosis
Squamosal
