후방 사두증의 감별진단을 위한 두개 기저부의 역할

• 영문명: The Role of Cranial Base for the Differential Diagnosis of Posterior Plagiocephaly
• 발행기관: 대한두개저학회
• 저자명: 최재훈(Jaehoon Choi) 최태현(Tae Hyun Choi) 이경석(Kyung Suk Lee) 김남균(Nam Gyun Kim) 김준식(Jun Sik Kim)
• 간행물 정보: 『대한두개저학회지』제6권 제1호, 35~39쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2011.06.30

영문 초록

Posterior plagiocephaly in infants is generally divided into unilateral lambdoid synostosis and deformational plagiocephaly. Because patients with unilateral lambdoid synostosis often undergo surgical therapy unlike deformational plagiocephaly, the differential diagnosis of infants with posterior plagiocephaly is important even though unilateral lambdoid synostosis is significantly rare. The clinical diagnosis commonly used could be subjective, and was inconsistent with computerized tomographic measurements. Because of advance in medical imaging technology, the measurement of cranial base has become a possibility lately. The capacity of anterior and middle cranial fossa areas, posterior fossa deflection angle, and petrous ridge angle could be measured by these observations, patients with unilateral lambdoid synostosis demonstrated the characteristic forms, including deviation of the posterior fossa to the affected side, an enlargement of the contralateral middle cranial fossa, and acute petrous ridge angle on the affected side. And the posterior fossa deflection angle and petrous ridge angle are quantitative measures, which make it possible to compare before and after the surgery and do the follow-up objectively. Therefore comparison by the observation of cranial base is recommended not only as the differential diagnosis of posterior plagiocephaly but also the objective measurement index to estimate the result of the operation and prognosis.

목차

서론

후방 사두증의 감별진단의 어려움

감별 진단의 필요성

후방 사두증과 두개저와의 관계

후방 사두증과 두개저와의 관계

두개저의 계측 항목을 이용한 감별진단의 한계점

두개저의 여러 가지 활용

결론

키워드

Posterior Plagiocephaly Cranial Base Lambdoid synostosis Deformational plagiocephaly