The 3 -year -old boy's skull development is deformed. Doctors have a cranial solution "tight hoop" | "Life Fate" takes you to understand narrow crania

Hengheng, 3 and a half years old, has many wonderful thoughts. Sometimes he imagines himself as a silkworm baby, and sometimes he sticks his ears on the ground to listen to watermelon, orange, and stone.

It was such a child with a big brain. He lived in the children's neurosurgery ward of Xuanwu Hospital, and he was waiting for a craniotomy surgery of "brain hole".

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3 -year -old boy skull's congenital developmental deformity

It's like wearing a "tight hoop" for the brain

This little boy with a lot of thought is Hengheng, only three and a half years old. Looking closely at Hengheng's head, you can clearly see that the front and rear diameters of his head are much longer than normal children, and the overall shape looks like winter melon. The disease that leads to the change of Hengheng's head is called narrow skull, and it belongs to the congenital developmental deformity of the skull. The normal development of the skull of the baby is continuously expanded in the direction of the cranial seam vertically. And Heng Heng's sagittal sewing was closed prematurely, and at the stage of rapid growth and development of the brain, this was like wearing a tight hoop for the brain.

Xiaorui in the same ward is only 6 months old, and she is also a child with narrow crania. Rui Rui's sagittal gap and the coronary seam on the left were closed, resulting in a very obvious depression on the head, and the left and right eyes were asymmetric. If it is not obvious, Rui Rui's parents may not find this extremely hidden disease.

As for the normal head, parents often think that they can recover as long as they "sleep" as long as they are "sleeping". This is the case of Hengheng's situation. It was not until he had stuck his foot in the bicycle. When he changed his medicine in the local hospital, the doctor suggested a head examination, which helped Hengheng discover the existence of narrow crania.

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Treatment of narrow crania golden period from June to 1 year old

The effect of different ages is different

The same ward, the same condition, one three years old, one half years old. Hengheng from Tianjin and Rui Rui from Guizhou changed from Momo to a difficult brother who was sympathetic. The difference is that Heng Heng and Xiaorui have different ages for receiving surgery, which will fundamentally affect the effect of surgical treatment.

The window period for narrowing crania is very short, only 4-10 months after birth. This period is the stage of rapid development of the brain. If surgery is performed in time, it will not affect the development of the brain. At the age of 3, the brain has developed to 80%. During this period, only 20%of the remaining 20%can be improved.

Today, Hengheng is 3 and a half years old, and he has already missed the golden period of treating narrow crania. In order to test the 3 -year -old Hengheng brain development, Director Zeng Gao of Xuanwu Hospital had a psychological development test on Hengheng. The test results show that except for a fine movement of Heng Heng only reached normal standards, the rest of the development is very good. Such a result thanks to the education of Hengheng's mother. Starting from learning about talking about Heng Heng at the age of 1, his mother insisted on reading picture books every day, taking him to play games, and developing intelligence and sports ability. The mother's persistence made Heng Heng's luck.

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3D skull model printing reduces the risk during surgery

3 -year -old boy is optimistic about craniotomy surgery

Although Hengheng and Rui Rui are the same diseases of the disease, the position, condition, and surgical risk of the cranial seams are very different. The narrow skull surgery is like a complete piece of paper to tear into several small pieces and then stitch them again. This not only tests the technology on the tip of the doctor's knife, but also tests the adaptability of the surgical scheme. Before each complex narrow skull surgery, the doctor will prepare the printing of the 3D skull model for the children of the surgery. The 1: 1 model can restore the details of the skull, allow the doctor to perform surgery in advance and reduce the risk of surgery.

In order to prepare the craniotomy surgery, the doctor came to shave his head for Hengheng. Unlike the fear of most children in the ward, Hengheng not only opened his brain, and said, "I have a hair from the rain." He even hummed the song while shaving. Since the hospitalization, his mother has always faced his son's surgery with a relaxed attitude.

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The only way to open the "tight hoop"

Great risk of skull reconstruction surgery

On the day of the operation, Hengheng still had his own thoughts. After the toy car prepared by the anesthesiology department entered the operating room, Hengheng did not cry or make trouble, and cooperated very well. He lying on the operating table said, "I feel like a banana myself." When smelling anesthetics, he called it "a biscuit flavor."

For 3 -year -old Hengheng, surgery is the biggest difficulty. The skull reconstruction surgery needs to launch the scalp, cut the skull, and artificially create the cranial seam to give the brain sufficient growth space. Hengheng's skull has become very hard, which is extremely difficult for surgery. The operation of bone grinding, cutting skull, and punching on the skull involved during the operation not only means more bleeding, but also the hard membrane under the skull. Risk will follow.

Because Hengheng's head and rear diameter length is too large, if you want to fully expose the entire skull, you must use a special push -up position, but the placement of this position must ensure that the eyes, nose, and the tracheal intubation in the mouth can not be affected extrusion. What Xiaorui surgery wants to solve is the closed seam and the left crown seam. Director Zeng Gao loosen Ruiru's brain with the "H" type surgery. And Heng Heng's surgery made Director Zeng Gao even more worried that he would use a stamp -type bone interception to Hengheng, which can better shape and reduce pressure. Hengheng's highly difficult operation was also the main knife of Director Zeng Gao. After more than 7 hours of surgery, Hengheng's "tight hoop" in his mind was finally solved after restraining the brain for 3 years. Every 2000-3000 children are narrow crania. Hengheng is unfortunate, but also lucky. The careful care of the mother and the superb art of the medical staff made the 3 -year -old Hengheng danger in this "battle".

Facing the future of the future, I believe he must not be afraid of the wind and waves, and move forward bravely!

Life Fate of Life

What is narrow crania? Narrow skull is also known as the cranial seam premature or cranial osteotia. The incidence of newborns is 0.6/1000. Due to the premature closure of cranial seams during the growth and development process, the craniotomy cavity cannot adapt to the normal development of the brain, which can be manifested as symptoms such as increased intracranial pressure, slow development, low intelligence, abnormal mental activity, and seizures. The treatment method is the first -class surgery. The purpose is to expand the cranial cavity and alleviate intracranial pressure enable the brain tissue to develop normally and protect vision. All should be treated as soon as possible. The operation of surgery in June to 1 years after life is better, and brain function disorders and skull malformations can be significantly improved.

Symptom signs:

1. The skull deformity, different from the different cranial joints of the early closure:

(1). All skull joints are closed prematurely to form pointed malformations or tower -shaped heads;

(2). The sagittal seam is closed prematurely to form a boat -shaped head or long head deformity;

(3). Coronary seams on both sides are closed prematurely to form short or flat head deformities;

(4). The crown seam on one side is closed prematurely to form oblique head deformity.

2. Brain dysfunction: Children are low intelligent, mentally sluggish or easy to excite, and neurological symptoms such as epilepsy, weakened limb muscle strength may occur.

3. Increased intracranial pressure increases: increasing intracranial pressure such as headache, vomiting, and visual nipple edema, and the optic nerve atrophy, vision defect and even blindness occur in the later stage.

4. Eye symptoms and others: Due to the shallow orbital, it can cause tough and separatist strabismus. Frequent deformities in other parts of the body, such as (toe), cleft palate, lip cracks and spine spoils.

Reminder: When children face major illnesses, medical insurance is particularly important for children and families. Newborn medical insurance is a great benefit given to newborns, which can be used to reimburse medical expenses incurred in hospitalization.

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