Half year old boys head grows longer and slants more. The doctor found it was very serious after examination

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 Half year old boys head grows longer and slants more. The doctor found it was very serious after examination


Ask: Darling 102 days, the head always inclines to one side, how to do?

A: is it a little crooked? When sleeping, put your babys head flat and keep sleeping for a few days. My baby is always crooked head, sometimes its as bad as falling off.

A: dont worry. Its a normal phenomenon. If you always lean to one place, you can sleep on the other side.

...

The above is a question and answer on a Knowledge Q & a website. Many people believe that if a childs head is slanted by experience, it will be better if he or she sleeps right. But pediatricians should tell you that this kind of cognition is wrong. If you dont pay attention to it, you will have serious consequences.

Half year old boys head is longer and more inclined

Hao Hao, from Guizhou Province, was found to have a slanted head when he was born, but the old man at home believed by experience that sleeping well could be corrected. But when Hao Hao was half a year old, the more parents realized that the childs head was asymmetrical, with his eyes and forehead on one side low and his neck on the other side inclined, so they took Hao Hao to several local hospitals for treatment. Doctors all diagnosed Howe as a common muscular torticollis in children, and suggested that the treatment should be carried out first. But looking at the growing skew of childrens small heads, there was no trend for improvement. Anxious parents decided to take the 11 month old Hao Hao to the childrens Hospital for treatment.

At the first sight of the child, the childs cranial suture has been closed to different degrees, and the cranial cavity is malformed, which belongs to the type of syndrome. Due to the different degrees of closure of the cranial suture on both sides, the childs orbit deviates, eyes squint, and there is a torticollis, which is easy to be confused with the common muscular torticollis in children. Li Lusheng, deputy director of Neurosurgery of childrens Hospital, said.

Before surgery

Early treatment can seriously affect brain development

After further examination, CT report showed that Haohaos craniosynostosis had resulted in severe intracranial hypertension, and there were different degrees of decalcification and osteoporosis, and the surface of skull was cribriform network.

As the deformity continues to increase, it not only affects the childs appearance, vision and motor development, but also more importantly, the brain of children under three years old is in a high-speed development period. If this tights are not removed in time, it will eventually lead to the childs mental, verbal, motor and other brain functions lagging behind. Li Lusheng said that Haohaos current situation must be improved through the whole cranial cavity plastic surgery, as well as the expansion of the cranial cavity. In order to restore the normal shape of the cranial cavity, the orbital bone, frontal bone, parietal bone, temporal bone and occipital bone need to be cut, osteotomy, plastic surgery, movement, and finally re fixation.

The whole operation process almost needs to expose the whole skull. The operation wound is very large, and the amount of bleeding is also large. At this time, Howell is in the best age of operation, but because of the complex condition of early closure of multiple cranial sutures and the weight of less than 10kg, the risk of operation increases.

After repeated discussions, the neurosurgery team, together with anesthesiologists, surgical nurses, surgeons, intensive care teams and other multidisciplinary teams, decided to use 3D printing technology, computer-aided simulated surgery, self blood recovery, thromboelastography, postoperative analgesia for low-weight infants and other advanced technical means to shorten the operation time and control coagulation disorders. Finally, Li Lusheng and his team overcame the difficulties and took 5 hours to successfully implement the whole cranial cavity plastic surgery + cranial cavity expansion for Hao Hao. At present, Howes cranial cavity has returned to a relatively normal state.

Post operative

Sleep in the right position! The incidence of postural cranial malformation is high in China

According to Li Lusheng, in addition to congenital craniosynostosis, cranial malformations also include postural malformations and microcephaly caused by brain dysplasia.

Postural malformation of cranial cavity is caused by improper postures in fetal or infant period. The shape of cranial cavity is abnormal due to unbalanced local compression of babys skull, which often results in oblique head deformity and short head deformity. Influenced by the traditional Chinese culture, the incidence of postural cranial malformation is high in China.

Some parents like to let their baby sleep with flat head and lie on his back for a long time, resulting in short head deformity. Li Lusheng said that light and medium-sized postural malformations can be corrected in time through early adjustment of posture and sleeping posture. In addition to human intervention, severe malformations need to wear orthopedic helmets. If the postural malformation of cranial cavity is not intervened, it will not only affect the shape of the cranial cavity itself, but also affect the facial organs, such as eustachian tube deformation, which can increase the incidence of otitis media.

In addition, there is a rare small head deformity. Due to the abnormal brain development, there is no problem in the skull of this kind of children, and no need for surgery. For example, the neurological function is backward, and the intervention of rehabilitation department and special education institutions is needed.

Li Lusheng reminded that from the outside, it is difficult to distinguish some craniocoeliac malformations caused by craniosynostosis from those caused by postural craniocoeliac malformations, which need to be differentiated by professional neurosurgeons through imaging examination. If the craniosynostosis is mistaken and misdiagnosed as postural craniocoeliac malformation, the opportunity for treatment will be delayed.

Source: responsible editor of upstream news: Du Shufei nb12556