頭蓋骨縫合早期癒合症に対する内視鏡支援下縫合切除術と術後ヘルメット治療

Endoscopy-Assisted Suturectomy and Cranial Remodeling Orthosis for Craniosynostosis

Point

・骨の柔らかい乳児期前半の単縫合癒合が最もよい適応である．

・皮膚切開が小さく整容的に優れるが，輸血を要することもあり，決して低侵襲とは言えない手術方法であることを認識する．

・頭蓋形態を整え，凹凸のない骨形成誘導を行うため，術後半年〜1年間のヘルメット装着が必須である．

　Craniosynostosis（CS）is now being diagnosed early as Japanese parents have become more conscious of the infants' skull shape. Endoscopy-assisted suturectomy（EAS）is a surgical treatment for early infants in combination with postoperative helmet cranial remodeling. Here we report our operative experiences with EAS for the treatment of CS.

　EAS is minimally invasive and has yielded good results when performed in combination with helmet therapy. However, transfusion for almost half of patients and additional surgery for syndromic patients were required. We will further develop the bone resection technique and hemostasis methods.