두개골 조기유합증 환자의 술후 CT Scan을 이용한 두개강내 용적의 평가

An Evaluation by CT scanning of Intracranial Volume after Correction of Craniosynostosis

  • 김석권 (동아대학교 의과대학 성형외과학교실) ;
  • 이장호 (동아대학교 의과대학 성형외과학교실) ;
  • 한재정 (동아대학교 의과대학 성형외과학교실) ;
  • 정기환 (동아대학교 의과대학 성형외과학교실) ;
  • 이근철 (동아대학교 의과대학 성형외과학교실) ;
  • 박정민 (동아대학교 의과대학 성형외과학교실)
  • Kim, Seok Kwun (Department of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Lee, Jang Ho (Department of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Han, Jae Jung (Department of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Jung, Ki Hwan (Department of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Lee, Keun Cheol (Department of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Park, Jung Min (Department of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University)
  • 투고 : 2004.06.22
  • 발행 : 2005.01.10

초록

Craniosynostosis is the premature fusion of one or more sutures of either cranial vault or base. Fused sutures may impede normal growth of the calvaria, leading to characteristic skull deformities; Morphological craniosynostosis is classified descriptively. Being craniosynostosis uncorrected the deformity progresses continuously and causes an increase of intracranial pressure. The surgical involvement aims at the expansion of intracranial space as well as satisfactory achievement of craniofacial shape. Early surgical correction in infancy prevents the deformity from the further progression and possible associated complication of high intracranial pressure. A long period of follow-up is essential to asses the outcome of an effectiveness of the surgery. measurement of intracranial volume has been concerned in medical personnel and anthropologists for many years. A reliable and accurate measurements of the intracranial volume facilitates to make a diagnosis and treatment of craniosynostosis. Pre-and postoperative change of intracranial volume was evaluated with 3D CT scanning in 12 cases of craniosynostosis who underwent frontal advancement and total cranial vault remodeling. Increased intracranial volume is attributed to surgical release of craniosynostosis and natural growth. We conceive that the intracranial volume is significantly increased after surgical correction of fused cranial sutures and along with natural growing. A procedure of frontal advancement and total cranial vault remodeling is very useful to correct such a deformity as craniosynostosis. And also 2 cases out of five mentally retarded patients improved remarkably and Forehead retrusion or temporal depression followed in another two cases.

키워드

참고문헌

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