Release date: 2016-06-02
Xiaoyu (pseudonym), born only 8 months old, suffers from severe narrow cranial disease. His appearance looks like an alien, his head is tall, his forehead is flat, his eyelids are deep and invaginated, his parietal bone is cracking...
Recently, Xiaoyu was sent to the Shanghai Children's Medical Center for neurosurgery. On May 21, the operation was successfully completed in 4 hours. After 7 days of operation, the “disintegration†was completed. After a few days of recovery, Xiaoyu has gradually presented a perfect head shape. He will be discharged on May 31 and go home. Spend the first child's day after surgery.
Dr. Paulan said that at present, the best surgical treatment for the treatment of narrow cranial disease, the best surgical time for surgery from 6 months to 1 year, can minimize the impact on brain development. And medical experts in the preoperative use of 3D printing technology, geometric reduction of children skull, making the surgery more accurate surgery, to reduce the risk of bleeding, and the face and after the remodeling is more family characteristics.
The hospital's neurosurgery chief physician Bao Nan said that Xiaoyu suffers from a very severe narrow cranial disease, also known as craniosynostosis or craniosynostosis, which is a disease that may occur during fetal growth and development. The incidence rate is 0.6/1000. In general, after 2 months of birth, the brain's brain weight will increase by 20%, and will double by 6 months. In order to reserve enough room for the brain, after the birth, there will be a number between the skulls. The gap will not gradually close until the brain develops. If the cranial suture is closed prematurely, the cranial cavity is too small, which will oppress and limit the rapidly developing brain tissue, causing high intracranial pressure and may cause brain dysfunction.
At present, the cause of the disease is still not clear in medicine. From the existing research data, it may be related to embryonic mesoderm developmental disorders, or may be due to the occurrence of heterotopic ossification center in the bone-seal tissue, and may also have genetic factors related to the lack of certain matrix defects in the embryo. Individual cases can be caused by vitamin D deficiency and hyperthyroidism.
In mid-May, after a series of detailed imaging examinations by Xiaoyu in the hospital, the doctor found that his head was closed with double-sided coronal sutures, which led to a tall head like an onion, a flat forehead, and a deep invagination of the eyelids. The front chin is narrow and the partial area of ​​the parietal bone is cracked.
Bowan pointed out that Xiaoyu's bilateral coronal suture closure and flat forehead will limit the development of his frontal lobe, which has a great impact on his emotional and IQ development. Therefore, surgery must be performed before the critical stage of development.
The procedure is like a puzzle
According to Baonan, surgery has two important purposes: one is to disassemble all the deformed skulls and loosen the oppressed brain; the other is to divide the skull, shape the shapes one by one, and then re-splicing, this process It's like playing a puzzle.
However, surgery requires not only technology, but also the artistic beauty of draping, which is very risky for children under 1 year old and may have bleeding. Therefore, before the operation, it is considered to reduce the child's skull in the form of 3D modeling, and the cutting plan and surgical cutting line are pre-set on the model to ensure "precise surgery".
"Essential orthopedic surgery for narrow-cranial diseases is unique. However, previous scalpel orthopedic surgery relies on intraoperative anatomy and practice according to the actual situation. How can the effect be completed only after the operation is finished, and the scalp can be seen after suturing. "Bonan said that the emergence of 3D printing technology, the pre-operatively 1:1 ratio of Xiaoyu deformed skull.
After the successful 3D modeling, Bowan imagined the cutting plan in his brain and painted the surgical cutting line on this three-dimensional, real skull model. “The physical model not only provides a precise guide to the surgical plan, but also provides a basis for reflecting the parental features of the child's face after measuring the parental facial data in advance,†he said.
On May 21, the operation was successfully completed in 4 hours. After 7 days of operation, the “disintegration†was completed. After a few days of recovery, Xiaoyu has gradually presented a perfect head shape. He will be discharged on May 31 and go home. Spend the first child's day after surgery.
Dr. Paulan said that at present, the best surgical treatment for the treatment of narrow cranial disease, the best surgical time for surgery from 6 months to 1 year, can minimize the impact on brain development.
Source: Dongfang Net
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