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[101－108] Current status of diagnosing and treating craniosynostosis and future research directions

[Li Zhiyi, Wang Jingyi, Gu Shuo]

DOI:10.3760/cma.j.cn101785-202401007-001

[Absract] Objective Craniosynostosis is a congenital condition characterized by a premature fusion of one or more bone sutures of skull.Diagnosis is mostly dependent upon three-dimensional computed tomography (CT),together with such new diagnostic modalities as "black bone" magnetic resonance imaging (MRI) and three-dimensional photography technology.Craniosynostosis usually requires surgical correction to allow for skull and brain to grow.Specific treatment options depend upon its clinical type... [MORE...]

[PDF:9696KB](176)

[109－112] Surgical management of sagittal synostosis at different ages

[Liu Yutong, Zeng Gao]

DOI:10.3760/cma.j.cn101785-202312012-002

[Absract] Objective Sagittal synostosis (SS) is the most common type of craniosynostosis.Great variations exist in surgical principles and techniques for SS at different ages.And individualization is rather complex.In conjunctions with personal surgical experiences at a single center,this review summarized the latest domestic and foreign literatures of SS to propose a standardized approach. [MORE...]

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[113－118] A comparison of π craniectomy plus orthopedic helmet versus cranial vault remodeling for non-syndromic premature sagittal suture in infants

[Zhang Di¹, Ge Ming¹, Ma Wenping¹, Li Dapeng¹, Zheng Tiehua²]

DOI:10.3760/cma.j.cn101785-202312054-003

[Absract] Objective Objective To compare the perioperative risk factors and postoperative efficacy of πcraniectomy plus orthopedic helmet versus cranial vault remodeling for non-syndromic premature sagittal suture and examine the advantages and disadvantages of two treatments to provide references for formulating individualized treatment plans for infantile non-syndromic sagittal premature closure.Methods From May 2018 to May 2023,retrospective review was conducted for hospital... [MORE...]

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[119－124] Improvements of frontal lobe volume and social emotions on metopic synostosis with frontal-orbital advancement

[Li Sen¹, Zhan Qijia¹, Xiao Bo², Jiang Wenbin¹, Wei Min¹, Chen Xin³]

DOI:10.3760/cma.j.cn101785-202311041-004

[Absract] Objective Objective To explore the therapeutic efficacy of frontal orbital advancement on improving social-emotional abnormalities and frontal lobe volume in children with metopic synostosis (MS).Methods From January 2017 to October 2021,retrospective review was performed for the relevant clinical data of 15 infants of premature closure of frontal suture managed with frontal orbital advancement.At the timepoints of pre-operation,1-year post-operation and during a fina... [MORE...]

[PDF:6156KB](139)

[125－129] Risk factors of secondary operation for craniosynostosis in children

[Xu Xinke, Lin Haoming, Lin Wei, Zheng Yaqi, Li Junliang, Li Fangcheng]

DOI:10.3760/cma.j.cn101785-202312002-005

[Absract] Objective Objective To explore the influencing factors of secondary operation after craniosynostosis in children.Methods From March 2016 to August 2023,the relevant clinical data were retrospectively reviewed for 133 children with craniosynostosis undergoing surgery.They were divided into primary surgery group and secondary surgery group according to whether they received the second surgery or not.Gender,age,type of craniosynostosis,operative approach,operative durati... [MORE...]

[PDF:4570KB](134)

[130－134] Efficacy of unilateral coronal craniostenosis using healthy side as a mirror image

[Wu Shuihua^1,2, Dae-jung Yang²]

DOI:10.3760/cma.j.cn101785-202312004-006

[Absract] Objective Objective To explore the clinical features and surgical approaches of unilateral coronal craniostenosis in infants.Methods From March 2019 to March 2023,the relevant clinical data were retrospectively reviewed for 27 infants aged over 3 months with unilateral coronary craniostenosis at Hunan Children’s Hospital.There were varying degrees of anterior plagiocephaly in skull appearance.A definite diagnosis was made by plain cranial/facial computed tomography (C... [MORE...]

[PDF:5277KB](123)

[135－139] Clinical features and outcomes of intestinal strictures after conservative measures for necrotizing enterocolitis

[Cao Xuqing, Pan Xiaoxue, Shen Chun]

DOI:10.3760/cma.j.cn101785-202203001-007

[Absract] Objective Objective To summarize the clinical features of intestinal stricture after conservative measures for neonatal necrotizing enterocolitis (NEC) and compare the outcomes of single and multiple stricture groups.Methods From January 2014 to December 2020,retrospective review was performed for the relevant clinical data of 67 neonates operated for post-NEC intestinal strictures.Basic information, NEC onset time,Bell stage,radiographic studies,surgical approach pos... [MORE...]

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[140－146] Application value of transcraniocerebral vascular Doppler ultrasonography in the diagnoses and postoperative evaluations of Chiari type Ⅰ malformation in children

[Wang Junlu, Zhang Li, Liu Jiangang, Liu Yu, Xiao Bo]

DOI:10.3760/cma.j.cn101785-202212039-008

[Absract] Objective Objective To explore the application value of transcranialcerebral vessel Doppler (TVD) ultrasonography in the diagnoses and postoperative evaluations of type Ⅰ Chiari malformation in children.Methods From March 2018 to December 2021,the relevant clinical data were retrospectively reviewed for 27 children with type Ⅰ Chiari malformation.Based upon age,they were assigned into two groups of preschool (aged 1-6 year,n=15) and school-age (aged 7-16 year,<... [MORE...]

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[147－151] Clinical evaluation of proximal tibial extension in children with congenital pseudarthrosis of the tibia

[Liu Yaoxi, Wu Jiangyan, Yang Ge, Tan Qian, Liu Kun, Huang Yiyong, Li Miao, Xiao Han, Hu Xiongke, Yi Yinzhi, Zhu Guanghui, Mei Haibo]

DOI:10.3760/cma.j.cn101785-202204086-009

[Absract] Objective Objective To evaluate the healing index and complications of proximal tibial lengthening in children with congenital pseudarthrosis of the tibia (CPT).Methods From February 2012 to December 2019,retrospective analysis was conducted for clinical data of 57 CPT children undergoing proximal tibial extension using Ilizarov external fixation device.The average follow-up period was 72.9 months.According to the average value of healing index, group A had a healing ... [MORE...]

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[152－157] Clinical efficacy of arthroscopy for habitual patellar dislocation in children

[Wen Yuwei¹, Qi Kefei², Yu Jiazhi¹, Wang Chunhua¹, Liu Tao¹]

DOI:10.3760/cma.j.cn101785-202212041-010

[Absract] Objective Objective To explore the clinical efficacy of arthroscopy for habitual patellar dislocation (HPD) in children.Methods From July 2015 to July 2021,retrospective review was conducted for 20 HPD children.There were 8 boys and 12 girls with an age range of (5.8-15) year.According to different surgical approaches,they were assigned into two groups of arthroscopy (n=9 with 10 knees) and open (n=11 with 12 knees).Lateral release,medial contraction and... [MORE...]

[PDF:5803KB](123)

[158－161] Treatment of congenital thumb ulnar deviation in children with closed osteotomy in epiphyseal by ultrasonography

[Meng Xijun¹, Yu Lisong¹, Li Jun¹, Wang Min², Shen Xiantao¹]

DOI:10.3760/cma.j.cn101785-202307006-011

[Absract] Objective Objective To explore the application of ultrasonography for congenital thumb ulnar deviation in children.Methods From July 2018 to February 2021,the relevant clinical datas were retrospectively reviewed for 8 children (10 thumbs) undergoing ultrasound-guided closed osteotomy in epiphyseal.There were 4 boys and 4 girls.Involvement was unilateral (n=3) and bilateral (n=5).Ulnar deviated angle and actively flexion angle of interphalangeal joint an... [MORE...]

[PDF:3750KB](124)

[162－167] Efficacy analysis of intramedullary nail fixation for femoral shaft fractures in adolescents via a lateral recumbent position with Steinmann pin

[Liu Chaoyu, Zhang Jianqiang, Xu Wenqiang, Fan Yongfei, Ma Xiulin, Liu Qixin, Wang Wei]

DOI:10.3760/cma.j.cn101785-202305033-012

[Absract] Objective Objective To explore the early efficacy and surgical essentials of closed reduction intramedullary nail fixation assisted by Steinmann pin for adolescent femoral shaft fractures.Methods From June 2018 to September 2021,the relevant clinical data were retrospectively reviewed for 31 adolescents undergoing intramedullary nail fixation for femoral shaft fractures via a lateral recumbent position with Steinmann pin.There were 18 boys and 13 girls with an average... [MORE...]

[PDF:5763KB](123)

[168－172] Clinical efficacies of different types of β receptor blockers for infantile hemangioma

[Wang Tao, Liu Changrong, Deng Licai, Wang Qian, Gao Juhui, Chen Shigong, Chen Xindi, Lin Xiangshang]

DOI:10.3760/cma.j.cn101785-202208021-013

[Absract] Objective Objective To observe the clinical efficacy and complications of β receptor blockers for infantile hemangioma (IH) and observe the effect on growth and development during treatment.Methods From January 2017 to may 2022,33 IH children were recruited.They were randomized into two groups of propranolol (n=22) and atenolol (n=11) according to parental wishes.No significant inter-group differences existed in age,gender,location or type (P>0... [MORE...]

[PDF:4934KB](151)

[173－177] Analysis of theraperutic effects of different surgicul metheods for patent ductus arteriosus

[Ailiyaer·Keyimu¹, Aliyaguli·Abudoureyimu², Wu Zukai¹, Mirehemaiti·Maimaitizunong¹, Mou Qiaoyu³, He Liyun⁴, Zhang Guoming³]

DOI:10.3760/cma.j.cn101785-202209055-014

[Absract] Objective Objective To explore the efficacy of traditional ligation of patent ductus arteriosus (PDA) through left posterolateral incision,video-assisted thoracoscopic closure of PDA and modified ligation of PDA through axillary small incision.Methods From February 2018 to December 2020,clinical data were retrospectively reviewed for 119 PDA children.According to different surgical approaches,they were divided into three groups of A,B and C.Group A underwent tradition... [MORE...]

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[178－183] Diagnosis and treatment of inflammatory myofibroblastic tumor of gastrointestinal tract in children

[Liu Denghui, Li Ming, Tang Xianglian, Huang Zhao, Xiang Qiangxing, Zhou Yuxiang, Li Yong]

DOI:10.3760/cma.j.cn101785-202308019-015

[Absract] Objective Objective To summarize the clinical characteristics and treatment experience of gastrointestinal inflammatory myofibroblastic tumor (IMT) in children.Methods From January 2010 to December 2021,retrospective analysis was performed for the relevant clinical data of 11 children of abdominal gastrointestinal IMT.Clinical manifestations,radiographic features,pathological examinations,surgical approaches and follow-up results were recorded.And the related literatu... [MORE...]

[PDF:8386KB](138)

[184－189] Anal canal duplication in children: a report of two cases with a literature review

[Huang Yanbing¹, He Yuanbin¹, Zhuang Xiaojin², Xu Ke¹, Xie Siqi¹, Fang Yifan¹, Wu Dianming¹, Lin Yu¹]

DOI:10.3760/cma.j.cn101785-202211022-016

[Absract] Objective Objective To explore the clinical characteristics and treatments of anal canal duplication (ACD) in children.Methods The relevant clinical data were retrospectively reviewed for two ACD children.More related cases were retrieved from the relevant Chinese and English literature reports of the databases of PubMed,Medline,Web of Science,CNKI and Wanfang from 1993 to 2022.Results Two neonates presented with sagittal anal orifice discovered by their mother... [MORE...]

[PDF:5678KB](162)

[190－192] Treating proximal humeral fractures plus glenohumeral joint dislocation in children

[Qiao Yi, Zhang Fuyong, Zhen Yunfang, Wang Xiaodong]

DOI:10.3760/cma.j.cn101785-202302001-017

[Absract] Objective Objective To summarize the experiences of treating proximal humeral fractures plus glenohumeral joint dislocation.Methods From January 1,2017 to May 31,2022,the relevant clinical data were retrospectively reviewed for 5 children of proximal humeral fractures plus glenohumeral joint dislocation.Imaging studies,treatment protocols and healing status were recorded.Results Fractures healed and dislocated shoulder joints were reduced after conservative mea... [MORE...]

[PDF:2767KB](117)

[193－196] Stereo electroencephalography guided radiofrequency thermocoagulation for secondary occipital lobe epilepsy in children:one case report with a literature review

[Lan Zhengbo, Ma Xiaoyan, Han Yanming, Shi Zhe, Chen Niandong, Wang Xiaoqiang, He Zhenhua, Li Qiang, Zhang Xinding]

DOI:10.3760/cma.j.cn101785-202302012-018

[PDF:5541KB](112)

[197－200] Applications of different intestinal anastomoses for neonatal intestinal atresia

[Lu Jinpeng, Fu Yue, Zhang Enzhao, Chen Yuanhui, Wang Zhaolong, Niu Huizhong]

DOI:10.3760/cma.j.cn101785-202204020-019

[Absract] Objective Congenital intestinal atresia (CIA) is a common congenital digestive tract malformation in neonatal surgery.Various types and locations of CIA have different clinical manifestations,treatments and outcomes.This article reviews the research progress of pathdogical features surgical methods and complications of intestinal atresia in different locations and rypes. [MORE...]

[PDF:4638KB](209)