La plagiocefalia anterior de origen craneosinostótico. Diagnóstico diferencial, tratamiento quirúrgico y resultados. Análisis de 45 casos
Anterior synostotic plagiocephaly. Differential diagnosis, surgical treatment and results. An analysis of 45 cases
J. Esparza, Mª.J. Muñoz, J. Hinojosa, A. Romance, J. Morera
Servicio de Neurocirugía Pedriátrica y Unidad de Cirugía Craneofacial. Hospital Infantil “12 de Octubre”. Madrid
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Análisis de 45 casos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "115" "paginaFinal" => "122" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "J. Esparza, Mª.J. Muñoz, J. Hinojosa, A. Romance, J. Morera" "autores" => array:5 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Esparza" ] 1 => array:2 [ "nombre" => "Mª.J." "apellidos" => "Muñoz" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Hinojosa" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Romance" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Morera" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía Pedriátrica y Unidad de Cirugía Craneofacial. Hospital Infantil “12 de Octubre”. Madrid" ] ] ] 1 => array:3 [ "autoresLista" => "A. Muñoz, J. Gómez" "autores" => array:2 [ 0 => array:3 [ "nombre" => "A." "apellidos" => "Muñoz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "J." "apellidos" => "Gómez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicios de Neurorradiología. Hospital Infantil “12 de Octubre”. Madrid" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] 1 => array:3 [ "entidad" => "Servicios de Anestesia. Hospital Infantil “12 de Octubre”. Madrid" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Anterior synostotic plagiocephaly. Differential diagnosis, surgical treatment and results. An analysis of 45 cases" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec163298" "palabras" => array:5 [ 0 => "Craniosinostosis" 1 => "Plagiocefalia" 2 => "Sinostosis coronal unilateral" 3 => "Base craneal" 4 => "Técnica quirúrgica" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec163299" "palabras" => array:5 [ 0 => "Craniosynostosis" 1 => "Plagiocephaly" 2 => "Unilateral coronal synostosis" 3 => "Skull base" 4 => "Surgical technique" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La serie que se presenta consta de 45 niños operados de plagiocefalia anterior. El estudio preoperatorio incluyó en todos los casos fotografías en tres posiciones, Rx. de cráneo y tomografía computarizada (TC). Se practicó además TC tridimensional (TC tri-D) en 20 niños. En 6 casos no fue posible demostrar la existencia de craneosinostosis en el estudio preoperatorio.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La edad media de los niños en la primera intervención fue de 14 meses y el tiempo medio de seguimiento postoperatorio fue de 47.5 meses.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se han utilizado tres técnicas quirúrgicas diferentes: el adelantamiento cantal lateral (5 casos), el avance orbitario unilateral con “raíl temporal” (12 casos) y el avance orbitario bilateral (28 niños).</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los resultados fueron excelentes en 33 pacientes (33/45), mientras que 8 niños necesitaron revisiones quirúrgicas con procedimientos quirúrgicos menores. En relación con las técnicas quirúrgicas empleadas, los resultados obtenidos fueron mejores en los casos que se operaron con el avance orbitario bilateral. Por otra parte recomendamos practicar osteotomías de la pirámide nasal cuando se trate de niños mayores con gran desviación del eje nasal asociada a severa deformación del complejo nasoetmoidal y de la base craneal en el TC.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">An operative series of 45 patients with anterior synostotic plagiocephaly is analyzed. In six children it was not posible to elicite synostosis of the cranial sutures on skull x. ray films and three-dimentional CT scan.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Primary procedures were performed at an average age of 14 months with an average postoperative follow-up of 47.5 months. Children were operated either by lateral canthal advancement (5 cases), unilateral orbital advancement with “tongue-in-groove” (12 cases) or bilateral orbital advancement (28 cases).</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Excellent results were obtained in 33 patients (33/45) and eight children required secondary minor revisions. Among the three differents surgical techniques, the results achieved by the bilateral approach were considered better than those with the use of unilateral techniques. Osteotomies of the nasal bones are recommended in older children with a severe nasal desviation associated to dislocation of the nasoetmoidal complex and the skull base showed on CT scan.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Esparza, J.; Muñoz, M.J.; Hinojosa, J.; Romance, A.; Morera, J.; Muñoz, A.; Gómez, J.: La plagiocefalia anterior de origen craneosinostótico. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 2 | 4 | 6 |
| 2022 Febrero | 0 | 2 | 2 |
| 2019 Agosto | 0 | 2 | 2 |
| 2018 Febrero | 16 | 9 | 25 |
| 2018 Enero | 24 | 15 | 39 |
| 2017 Diciembre | 18 | 18 | 36 |
| 2017 Noviembre | 44 | 48 | 92 |
| 2017 Octubre | 18 | 56 | 74 |
| 2017 Septiembre | 21 | 46 | 67 |
| 2017 Agosto | 21 | 43 | 64 |
| 2017 Julio | 24 | 42 | 66 |
| 2017 Junio | 41 | 58 | 99 |
| 2017 Mayo | 33 | 48 | 81 |
| 2017 Abril | 17 | 83 | 100 |
| 2017 Marzo | 11 | 56 | 67 |
| 2017 Febrero | 9 | 73 | 82 |
| 2017 Enero | 13 | 52 | 65 |
| 2016 Diciembre | 31 | 37 | 68 |
| 2016 Noviembre | 31 | 68 | 99 |
| 2016 Octubre | 37 | 89 | 126 |
| 2016 Septiembre | 51 | 103 | 154 |
| 2016 Agosto | 102 | 104 | 206 |
| 2016 Julio | 42 | 77 | 119 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Julio | 1 | 9 | 10 |
| 2015 Junio | 18 | 32 | 50 |
| 2015 Mayo | 33 | 46 | 79 |
| 2015 Abril | 22 | 58 | 80 |
| 2015 Marzo | 23 | 68 | 91 |
| 2015 Febrero | 17 | 65 | 82 |
| 2015 Enero | 30 | 41 | 71 |
| 2014 Diciembre | 19 | 35 | 54 |
| 2014 Noviembre | 21 | 52 | 73 |
| 2014 Octubre | 25 | 55 | 80 |
| 2014 Septiembre | 23 | 57 | 80 |
| 2014 Agosto | 22 | 62 | 84 |
| 2014 Julio | 30 | 60 | 90 |
| 2014 Junio | 36 | 48 | 84 |
| 2014 Mayo | 37 | 65 | 102 |
| 2014 Abril | 33 | 59 | 92 |
| 2014 Marzo | 18 | 52 | 70 |
| 2014 Febrero | 22 | 62 | 84 |
| 2014 Enero | 26 | 50 | 76 |
| 2013 Diciembre | 30 | 44 | 74 |
| 2013 Noviembre | 20 | 38 | 58 |
| 2013 Octubre | 23 | 49 | 72 |
| 2013 Septiembre | 20 | 48 | 68 |
| 2013 Agosto | 19 | 64 | 83 |
| 2013 Julio | 24 | 54 | 78 |
| 2013 Junio | 15 | 38 | 53 |
| 2013 Mayo | 15 | 78 | 93 |
| 2013 Abril | 15 | 81 | 96 |
| 2013 Marzo | 12 | 52 | 64 |
| 2013 Febrero | 10 | 39 | 49 |
| 2013 Enero | 14 | 51 | 65 |
| 2012 Diciembre | 12 | 37 | 49 |
| 2012 Noviembre | 0 | 37 | 37 |
| 2012 Octubre | 0 | 4 | 4 |
| 2012 Septiembre | 0 | 2 | 2 |
| 2012 Enero | 9 | 0 | 9 |
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