定制3D打印头盔治疗7个月婴儿异位性颅缝闭塞1例报告。

IF 2.1 3区 医学 Q2 PEDIATRICS
Frontiers in Pediatrics Pub Date : 2025-03-14 eCollection Date: 2025-01-01 DOI:10.3389/fped.2025.1474412
Huthaifa Atallah, Rabee Naeem, Amneh Alshawabka, Anas S Said, Huda Alfatafta, Evelin Derkács, Dorottya Varga, Bálint Molics
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引用次数: 0

摘要

异位颅缝闭闭导致颅骨畸形,从而影响大脑的生长发育。手术通常用于治疗这种三头畸形。头盔疗法也被用于术后颅缝闭锁的治疗。然而,使用3D打印头盔治疗异位性颅缝闭锁的数据缺乏。大多数研究都是关于头盔成型的。此外,缺乏关于其临床结果的证据。因此,本研究的目的是评估在内窥镜辅助开颅手术干预后,3D打印头盔在治疗异位性颅缝闭闭中的应用。病例描述:一名7个月大的婴儿被诊断为异位性颅缝闭闭,在手术干预后,神经外科医生将其转介到定制的3D打印头盔。一位经过认证的矫形师进行了进一步的评估、扫描、设计和打印定制的3D打印头盔。此后,顺利完成了装配和交付。患者在2个月和5个月时进行了两次随访。结果:初次配戴5个月后,经人体测量,头型得到矫正,畸形减少。颅穹不对称指数(CVAI)由7%降至2%,颅穹不对称指数(CVA)由7mm降至3mm。结论:本病例报告阐述了3D打印技术在异位性颅缝闭锁治疗中的应用。3D打印头盔可能为治疗选择性异位性颅缝闭闭婴儿提供合适的选择。因此,对于此类病例,在内镜辅助开颅手术干预后,将引入3D头盔作为后续干预。需要更多病例的进一步研究来评估使用3D打印头盔代替成型头盔治疗异位性颅缝闭锁的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Customized 3D printed helmet in the treatment of metopic craniosynostosis in a 7-month-old infant, a case report.

Introduction: Metopic craniosynostosis results in a deformed skull and hence, impacts brain growth and development. Surgery is usually applied to treat this trigonocephalic head malformation. Helmet therapy is also utilized in craniosynostosis treatment after the surgery. However, data on use of 3D printed helmets in treatment of metopic craniosynostosis is lacking. Most of the studies are published about molding helmets. Moreover, there is a lack of evidence on its clinical outcomes. Therefore, the aim of this study was to assess the use of a 3D printed helmet in treating a metopic craniosynostosis, after the endoscopy-assisted craniotomy surgical intervention.

Case description: A 7-month-old infant who was diagnosed with metopic craniosynostosis was referred from the neurosurgeon for a custom-made 3D printed helmet, after a surgical intervention. A certified orthotist has performed further assessment, scanning, designing, and printing a customized 3D printed helmet. Thereafter, fitting and delivery were successfully completed. Patient has come for two follow-up appointments, at 2 and 5 months.

Results: Five months after the initial fitting, the head shape correction and reduction of deformity were noticed through anthropometric measures. The cranial vault asymmetrical index (CVAI) decreased from 7% to 2% and the cranial vault asymmetry (CVA) reduced from 7 mm to 3 mm.

Conclusion: This case report illustrates the utilization of 3D printing technology in the treatment of metopic craniosynostosis. 3D printed helmets may offer an appropriate option for treating selective infants with metopic craniosynostosis. Thus, would introduce the 3D helmet as a following intervention for such cases after the endoscopy-assisted craniotomy surgical intervention. Further studies with a higher number of cases are compulsory to assess the effectiveness of treating metopic craniosynostosis by 3D printed helmets instead of molding helmets.

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来源期刊
Frontiers in Pediatrics
Frontiers in Pediatrics Medicine-Pediatrics, Perinatology and Child Health
CiteScore
3.60
自引率
7.70%
发文量
2132
审稿时长
14 weeks
期刊介绍: Frontiers in Pediatrics (Impact Factor 2.33) publishes rigorously peer-reviewed research broadly across the field, from basic to clinical research that meets ongoing challenges in pediatric patient care and child health. Field Chief Editors Arjan Te Pas at Leiden University and Michael L. Moritz at the Children''s Hospital of Pittsburgh are supported by an outstanding Editorial Board of international experts. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. Frontiers in Pediatrics also features Research Topics, Frontiers special theme-focused issues managed by Guest Associate Editors, addressing important areas in pediatrics. In this fashion, Frontiers serves as an outlet to publish the broadest aspects of pediatrics in both basic and clinical research, including high-quality reviews, case reports, editorials and commentaries related to all aspects of pediatrics.
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