Kafatasının Konjenital Şekil Anomalileri: Medikal Yaklaşım
Özet
Kraniosinostoz, kranial sütürlerin erken füzyonu sonucu gelişen, kafatası şekil bozukluğuna ve ciddi vakalarda intrakraniyal basınç artışına yol açabilen gelişimsel bir anomalidir. Tanı klinik değerlendirme ve radyolojik görüntüleme (özellikle 3D BT ve MRG) yöntemleri ile konulurken, tedavi stratejileri hastanın yaşına, sendromik varlığına ve deformitenin şiddetine göre endoskopik veya açık cerrahi müdahaleler arasında değişiklik gösterir. Pozisyonel kafatası şekil bozuklukları ise kraniosinostozdan farklı olarak genellikle konservatif yöntemlerle yönetilen kozmetik bir durumdur.
Craniosynostosis is a developmental anomaly caused by the premature fusion of cranial sutures, which can lead to skull deformity and, in severe cases, increased intracranial pressure. Diagnosis is established through clinical assessment and radiological imaging (particularly 3D CT and MRI), while treatment strategies vary between endoscopic or open surgical interventions based on the patient's age, syndromic status, and severity of deformity. Unlike craniosynostosis, positional skull deformities are generally a cosmetic condition managed with conservative measures.
Referanslar
Anderson BW, Kortz MW, Al Kharazi KA. Anatomy, Head and Neck, Skull. In: StatPearls. Treasure Island (FL): StatPearls Publishing; July 27, 2020.
Jin, Sung-Won, Ki-Bum Sim, and Sang-Dae Kim. "Development and growth of the normal cranial vault: an embryologic review." Journal of Korean Neurosurgical Society 59.3, 2016: 192.
Graham, A. “The development and evolution of the pharyngeal arches.” Journal of anatomy vol. 199,Pt 1-2 (2001): 133-41.
Ressell William P.; Russell, Mark R. Anatomy, Head and Neck, Coronal Suture. 2018.
Berendsen AD, Olsen BR. Bone development. Bone. 2015;80:14-18.
Governale, Lance S. "Craniosynostosis." Pediatric neurology 53.5 (2015): 394-401.
Sharma, Ramesh Kumar. "Craniosynostosis." Indian journal of plastic surgery: official publication of the Association of Plastic Surgeons of India 46.1 (2013): 18.
Kajdic Nina, Peter Spazzapan, and Tomaz Velnar. "Craniosynostosis-Recognition, clinical characteristics, and treatment." Bosnian journal of basic medical sciences 18.2 (2018): 110.
Kutkowska-Kaźmierczak, Anna, Monika Gos, and Ewa Obersztyn. "Craniosynostosis as a clinical and diagnostic problem: molecular pathology and genetic counseling." Journal of applied genetics 59.2 (2018): 133-147.
Armand, Thibaud, et al. "Genetic bases of craniosynostoses: An update." Neurochirurgie 65.5 (2019): 196-201.
Hallac Rami R., et al. Molding helmet therapy for deformational brachycephaly. Journal of Craniofacial Surgery, 2019, 30.6: 1756-1759.
Zaleckas, Linas, et al. "Diagnosis and treatment of craniosynostosis: Vilnius team experience." Acta medica Lituanica 22.2 (2015): 111-121.
Massimi, L., Bianchi, F., Frassanito, P., Calandrelli, R., Tamburrini, G., & Caldarelli, M. Imaging in craniosynostosis: when and what?. Child's Nervous System, 35(11), (2019) 2055-2069.
Proisy M, Riffaud L, Chouklati K, Tréguier C, Bruneau B. Ultrasonography for the diagnosis of craniosynostosis. Eur J Radiol. 2017 May;90:250-255.
Johnson D, Wilkie AO. Craniosynostosis. Eur J Human Genet 2011;19(4):369-76.
Chong S, Wang KC, Phi JH, Lee JY, Kim SK. Minimally invasive suturectomy and postoperative helmet therapy: Advantages and limitations. J Korean Neurosurg Soc 2016;59(3):227-32.
Utria AF, Mundinger GS, Bellamy JL, Zhou J, Ghasemzadeh A, Yang R, et al. The importance of timing in optimizing cranial vault remodelling in syndromic craniosynostosis. Plast Reconstr Surg 2015;135(4):1077-84
jimenez DF, Barone CM. Endoscopic technique for sagittal synostosis. Childs Nerv Syst 2012;28(9):1333-9.
Esparza J, Hinojosa J. Complications in the surgical treatment of craniosynostosis and craniofacial syndromes: Apropos of 306 transcranial procedures. Childs Nerv Syst 2008;24(12):1421-30.
Czerwinski M, Hopper RA, Gruss J, Fearon JA. Major morbidity and mortality rates in craniofacial surgery: An analysis of 8101 major procedures. Plast Reconstr Surg 2010;126(1):181-6
