Plastic common head type
Unlike other babies, her eyebrows are sunken and her head is tall and flat, and she knows there may be something wrong.

Wu Xiaomei's mother is a social worker of the Foundation for Children with Developmental Retardation. She has been helping and facing these retarded children for a long time. She is cheerful and strong, and never thought that she would give birth to a different baby. Her first child, Wu Xiaomei, suffered from a rare "premature closure of multiple cranial sutures", which caused her head to be wide and flat. She took Wu Xiaomei to see a doctor as soon as possible. When Wu Xiaomei was 65,438+00 months old, doctors used a skull expansion tractor to expand her skull. At present, Wu Xiaomei is 1 year-old, her head has become round, and she has not missed the golden growth period of her brain, so that the burden in her mother's heart has finally been put down.

Premature closure of cranial suture is extremely rare, and the reason is unknown.

Dr. Lu from the Department of Plastic Surgery at Chang Gung Memorial Hospital in Linkou said that the cause of premature closure of cranial suture is unknown. The incidence rate in Asia is about 3/ 10000, and in Taiwan Province province 1 year, about 20-30 babies suffer from this disease. And "premature closure of multiple cranial sutures" is even rarer, partly because of gene mutation.

Dr. Lu Chenting explained that the cranial suture on human skull can be divided into frontal cranial suture, coronal cranial suture, sagittal cranial suture and herringbone cranial suture, among which the frontal cranial suture will heal about 7 to 8 months after birth, and other cranial sutures will not heal until adulthood. If any cranial suture heals in advance, it is called premature closure of cranial suture, and multiple cranial sutures heal in advance, which is called premature closure of multiple cranial sutures.

Premature closure of cranial suture: the brow bone is depressed, the skull is wide and flat, and the head is high.

Premature closure of cranial suture or multiple premature closure of cranial suture can generally be seen from the appearance of the baby, but the diagnosis can only be made by computerized tomography. Dr. Lu Chenting said that because the baby has not yet developed, the rare premature closure of multiple cranial sutures will mostly cause the baby's brow bone to droop, and the head will be wide and flat, which is a bit like the head shape in the cartoon Simpsons. Therefore, when Wu Xiaomei was born, her mother saw that her brow bone was sunken and her head was tall and flat, which was different from other babies. She knew something might be wrong.

Cranial tractor treatment surgery opens the brain for the baby in advance.

Dr. Lu Chenting said that expanding the skull can make the brain develop normally, but such patients often have high brain pressure and thin skull, so it is difficult to expand the skull in the early stage, so skull expansion surgery is usually not performed before the patient 1 year old.

A new type of "skull tractor" must be used to cut the skull. The wound is the same as that of traditional surgery, but it doesn't need to be reassembled. The operation time is shorter, the scope is smaller, the blood loss is less, the risk is lower, and it is not limited by the thin skull. It can be performed between the baby's 6 months and 1 year, which can effectively enlarge the skull.

With the support of the public welfare fund and Luo Huifu Foundation, Linkou Chang Gung Hospital successfully accepted the treatment of head tractor before 1 year-old, which saved the golden age of brain development and made its head shape close to normal. Six months later, Wu Xiaomei needed forehead plastic surgery to complete the treatment of the whole skull. Dr. Lu Chenting encouraged parents not to be depressed or give up treatment. After treatment, the baby can still have a happy childhood and a life that can be expected, just like ordinary children.

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