Amaç: Sagital kraniosinostozlu bebekler endoskopik süturektomi ve kranial kasklar ile tedavi edilir. Kullanılan bu kaskların uzun vadeli etkileri ve kask tedavisinin tamamlanmasından sonra ortaya çıkan etkiler henüz araştırılmamıştır. Bu çalışmanın amacı, kranial kaskın uzun vadeli etkilerini ve kask tedavisinin tamamlanmasından sonra ortaya çıkan etkileri araştırmaktır.
Gereç ve Yöntemler: Çalışmaya 14 bebek dahil edildi. Bebekler ameliyat sonrası, kaskın yeniden şekillendirilmesinin tamamlanmasından sonra ve 6 aylık takipte bir 3D lazer sistemi kullanılarak değerlendirildi. Anterior-posterior(AP), medio-lateral (ML) kranial ölçümler, kranial çevre(KÇ), diyagonal ölçümler, sefalik oran(SO) ve kranial kubbe asimetri indeksi(KKAI) değerlendirildi.
Bulgular: Bebekler 35±3.4 hafta boyunca yeniden şekillendirme kaskı kullandılar. Ameliyat sonrası ve tamamlama sonuçları incelendiğinde, kranial kask kullanımı sırasında, AP, ML, KÇ ölçümlerinin, SO ve KKAI’nin istatistiksel olarak iyileştiği ve bunun sonucunda kafa şeklinin normalleştiği görülmektedir (p<0.05). Takip sonuçları incelendiğinde kranial şekil simetrisinde bozulma olmadığı ve bebeklerin kraniumlarında simetrinin büyüme devam ederken AP, ML, KÇ ölçümleri ile SO ve KKAI’nin korunduğu (p>0.05) görülmektedir.
Sonuç: Bu çalışma, kranial kask tedavisi tamamlandığında, kranial gelişimin normal oranlarda devam ettiğini göstermektedir. Uzun vadede kranial simetride herhangi bir bozulma olmadığı ve kranial kask tedavisi tamamlandıktan sonra tedavinin etkinliğinin devam ettiğini ortaya koymaktadır.
Anahtar Sözcükler: Bebek, Çocuk gelişimi, Endoskopi, Kraniosinostoz, Ortez Cihazları
Bulunmamaktadır
Bulunmamaktadır
Objective: Infants with sagittal craniosynostosis are treated with endoscopic suturectomy and remodeling helmets. The long term effects and the effects that occur after the completion of remodeling helmet treatment have not been investigated. The purpose of this study is to investigate the long term effects of remodeling helmet and effects that occur after the completion of remodeling helmet treatment.
Material and Methods: 14 infants were included in the study. The children were assessed post-op, after the completion of remodeling helmet and at 6 months’ follow-up using a 3D laser acquisition system. The anterior-posterior(AP), medio-lateral(ML) cranial measurements, cranial circumference(CC), diagonal measurements, cephalic ratio(CR) and cranial vault asymmetry index(CVAI) were assessed.
Results: The infants used the remodeling helmet for 35±3.4 weeks. When the post-op and completion results are examined, it can be seen that during remodeling helmet usage duration, AP, ML, CC measurements, the CR and CVAI have statistically improved, resulting in normalization of cranial shape (p<0.05). When the follow up results are examined, it can be seen that there was no deterioration in the symmetry of the cranial shape and the AP, ML, CC measurements and the CR and CVAI were preserved (p>0.05) whilst the infants’ craniums continued to grow at a normal rate.
Conclusion: The present study shows that when remodeling helmet therapy is completed, cranial development continues at normal rates. There is no deterioration in cranial symmetry in the long term, and the effectiveness of the treatment continues after the remodeling helmet therapy is completed.
Bulunmamaktadır
Primary Language | English |
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Subjects | Clinical Sciences |
Journal Section | ORIGINAL ARTICLES |
Authors | |
Project Number | Bulunmamaktadır |
Publication Date | September 20, 2022 |
Submission Date | March 30, 2022 |
Published in Issue | Year 2022 Volume: 16 Issue: 5 |
The publication language of Turkish Journal of Pediatric Disease is English.
Manuscripts submitted to the Turkish Journal of Pediatric Disease will go through a double-blind peer-review process. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in the field, in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent editor to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions. Articles accepted for publication in the Turkish Journal of Pediatrics are put in the order of publication taking into account the acceptance dates. If the articles sent to the reviewers for evaluation are assessed as a senior for publication by the reviewers, the section editor and the editor considering all aspects (originality, high scientific quality and citation potential), it receives publication priority in addition to the articles assigned for the next issue.
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