Purpose

Studies have examined the impact of fusion of the sagittal suture in the skull base while others have evaluated the growth of the skull base before and after surgery. This study aims to perform the anthropometric measures of the skull base in children with scaphocephaly to evaluate the influence of surgical repair in the remodeling of the skull base and anthropometric measures.

Methods

Twenty-one children with diagnosis of scaphocephaly were operated between April 2007 and October 2008, and anthropometric measures at the skull base were performed before and after a year of surgery. The measures were the cranial index (CI), distance between the crista galli and tuberculum sellar (CG-TS), distance between the crista galli and the internal auditory meatus (CG-IAM), distance between the oval foramen (OF-OF), distance between the internal auditory meatus (IAM-IAM), the angle of the skull base (Â1), and the angle between the nasion, center of sella, and basion (Â2).

Results

There was a normalization of the CI in all children, confirming an appropriate cranial remodeling. The CG-TS measure evaluated the anterior skull base, with proportional growth of 12.5%. The mediolateral growth was observed by the increase of OF-OF measures by 8.5% and IAM-IAM by 9.5%. The CG-TS measure grew by 7.2%. There was no statistical difference in the angles analyzed.

Conclusion

Surgical treatment of scaphocephaly led to remodeling of the skull base, confirmed by the changes of anthropometric measures taken before and after a year of surgery.

中文翻译：

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接受手术矫正的矢状颅缝早闭儿童颅底的人体测量学变化

目的

研究检查了颅底矢状缝融合的影响，而其他研究则评估了手术前后颅底的生长。本研究旨在对头颅畸形患儿进行颅底的人体测量，以评估手术修复对颅底重塑和人体测量的影响。

方法

2007 年 4 月至 2008 年 10 月期间，对 21 名诊断为头颅畸形的儿童进行了手术，并在手术前后进行了一年的颅底人体测量。测量的指标是颅指数（CI）、鸡嵴与鞍结节间的距离（CG-TS）、鸡嵴与内耳道间的距离（CG-IAM）、卵圆孔间的距离（OF-OF） , 内耳道之间的距离 (IAM-IAM)、颅底的角度 (?1) 以及鼻根、蝶鞍中心和基底之间的角度 (?2)。

结果

所有儿童的 CI 均正常化，证实了适当的颅骨重塑。CG-TS 测量评估了前颅底，比例增长为 12.5%。通过 OF-OF 措施增加 8.5% 和 IAM-IAM 增加 9.5% 观察到中间增长。CG-TS 指标增长了 7.2%。分析的角度没有统计学差异。

结论

头颅畸形的手术治疗导致颅底重塑，手术前后一年所采取的人体测量方法的变化证实了这一点。