Severe craniofacial deformity children 3 years old doctor will remove the remake of its skull

Severe craniofacial defects, Sichuan boy, Nanjing Children's Hospital for his Dell Vostro 1500 Battery of a head

"Skull puzzle," sketch

3-year-old Tong Wenwen severe congenital craniofacial deformities because of the head like "parrot head", the eyes convex out. A month ago, Nanjing Children's Hospital brain surgeon to remove the skull is divided into six kids, like the puzzle-like reconstruction of a skull for the children (left to after photos). It is understood that all of the difficult calvarial reconstruction in the country not been reported.

【Symptoms convex skull deformities for children to the eyes, sleep eyes open

Wen Wen was born in November 2007 Wanyuan City in Sichuan Province, just born, he and another baby on the head type is not the same, "I thought it was raw when he pushed the" Wen Wen's mother recalls She spent over 20 hours produced, and finally the text below or caesarean section. However, children grow up to 6 months, the head of the deformity becoming increasingly apparent, the first high to low, is flat on both sides, like a "parrot head", two eyes still out convex.

August 2008, the family came with Wen Wen a hospital in Chongqing, a piece of skull in the back of the head after removing the child looks much better than before, but the degree of skull deformity is quite severe, the eyes, or convex. To the beginning of this year, Li Wen has been unable to close your eyes, only his eyes open until dawn every day, very poor.

No cause of brain】 【long is good, in advance of closure of the suture

Wen Wen's mother said, heard Nanjing, Wang Gang, director of neurosurgery at Children's Hospital has done a similar surgery patients, who carries a glimmer of hope came in August this Dell Inspiron 8600 Battery, Nanjing Children's Hospital.

Wang Gang, director recalled that he first met Wen Wen, also shocked. Wang Gang, director told reporters that this is called "narrow cranial disease" congenital malformations. This disease has some genetic predisposition, but Wen Wen's family is no such cases. Experts explained that the human brain is not born to molding, in order to leave enough growth space for the brain, person after birth, the skull would have a few gaps between, until the completion of brain development, craniosynostosis will be gradually closed. However, if the gap is closed prematurely, cranial pressure and restrictions will be rapidly developing brain tissue, causing increased intracranial pressure, swelling of head and eye bulging and so on. Typically, the "narrow skull syndrome" in children with premature suture closure only one suture may Wen Wen's all closed, his skull bone in the brain is under the pressure of different thickness.

【Operation】 "skull puzzle", an increase of four "soft spot"

Without such a serious deformity surgery, the optic nerve will gradually shrink the oppressed, sight will gradually weaken, and ultimately blindness, increased intracranial pressure and long-term oppression of the brain, brain development will be affected, there intellectual problems. Fortunately, the child's intelligence has not been damaged.

November 9, Li Wen was to promote the operating room. Wang Gang, director, said Wen Wen did before the surgery, his head is missing a piece of bone, which makes the stability of his skull worse than normal children, there is a sinusoidal back of the head, once torn, can lead to intracranial bleeding. During surgery, they will be carefully removed all Wenwen skull removed, divided into six blocks, molded into the required shape, again stitching - as "jigsaw puzzle."

"Can not fight full of puzzles, but to leave a gap where it is needed, like a baby's fontanel not closed, as Wen Wen for the further growth of the brain." Gang Officer said that although they have made sufficient preoperative preparation, but when the child opens the skull, doctors have found the situation much more complicated than expected.

As intracranial pressure is too high, covering the dura mater in the brain tissue has been thin as onion skin, the following clearly visible in Dell Inspiron Mini 910 Battery tissue, little carelessness may be torn dura mater, causing subdural hemorrhage, life-threatening. Wen Wen's orbital path around the small, surgical medicine survivors with particular attention to protecting the eye, or if damaged, can lead to blindness.

Through cooperation and collaboration of several departments, experts from Children's Hospital after eight hours of surgery, and finally back to Li Wen "made" a "head" - in the skull base through the front, back, left and right added four "fontanelle" increased cranial fossa volume, to further the growth of brain tissue Wen Wen leaves enough space; supraorbital bridge while the child forward, expanding the bony orbital volume, convex clear eye back satisfied. Wen Wen finally succeeded in "re-hatting" of the!

Open gauze, the family was pleasantly surprised to find that Wen Wen rounded head, and surgery did not hurt any nerves, the functions are not damage the child. Yesterday, the reporter went to the Nanjing Children's Hospital neurosurgery ward and saw her mother lying Wen Wen's arms like a baby. Wen Wen's parents told reporters that the child recovered so well, they really do not know how to thank Wang Gang, director.

But the reporters found that some of Wen Wen's eyes out or convex, and normal in appearance or have some different kids. Wang Gang, director told reporters that, until 8 years later, Wen Wen will also undergo a surgery, mainly to help him solve the problem face to restore normal dental occlusion. The child before the age of 12, are also re-developed brain, so he grows up, the mental and neurological functions are not affected, can study and live like normal people.

To remind>>> excessive calcium supplementation of pregnant women as early as the baby will be closed craniosynostosis

Nanjing Children's Hospital of Neurosurgery Director Wang Gang told reporters, simple to craniosynostosis have a certain genetic, but not the genetic correlation.

But there is especially need to remind everyone to note that if the mothers during pregnancy excessive calcium, may cause the baby to premature suture closure. Moreover, the normal full-term baby's head should be like a soft egg, which will help delivery. If over-nutrition during pregnancy, excessive calcium, the fetus's head is not soft, it is not only a mother has difficulty in the production process of the Dell Inspiron 1420 Battery may also be extruded or forceps because of injury and other cerebral hemorrhage occurred.