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首页> 外文期刊>Neurocirugia >Diagnóstico y tratamiento de la plagiocefalia posicional: Protocolo para un Sistema Público de Salud
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Diagnóstico y tratamiento de la plagiocefalia posicional: Protocolo para un Sistema Público de Salud

机译：位置性斜头畸形的诊断和治疗：公共卫生系统规程

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Introduction. Positional plagiocephaly is nowadays the most frequent consultation at pediatric neurosurgical departments in Spain and western countries. Another important issue is the confusion existing in literature regarding terminology, physiopathology, differential diagnosis with true synostosis and, of course, proper recommendations for treatment. Objectives. To clarify all these concepts and present a protocol that was recently asked by the Health Administration of the Community of Madrid. Protocol. Pretends to achieve coordination among paediatricians and neurosurgeons, as much as to offer precise information about data concerning this entity for parents, paediatricians and neurosurgeons. Material and methods. Previous consensus is reached about some data. Children are classified in three categories of deformation (mild; moderate; severe), according to measurements on digital photography. Diagnosis and treatment follows two phases: Paediatric phase (up to 5 months of age) and Neurosurgical phase (from 5 months on). Children would be referred to neurosurgical consultation only after being treated with postural changes and physiotherapy by the age of 5 months. Reasons are explained in the protocol that defines also functions and responsibilities for each speciality. Conclusion. Treatment proposed here is staged, starting with postural changes and physiotherapy, followed by orthotic cranial devices and finally surgical treatment.
机译：介绍。如今，位置性gio头畸形是西班牙和西方国家小儿神经外科的最常见咨询。另一个重要问题是文献中有关术语，生理病理学，真正的鼻窦炎的鉴别诊断以及正确的治疗建议方面的困惑。目标。为了澄清所有这些概念，并提出了马德里社区卫生管理局最近要求的协议。协议。假装在儿科医生和神经外科医生之间实现协调，并为父母，儿科医生和神经外科医生提供有关此实体的准确信息。材料与方法。关于某些数据达成了先前的共识。根据数码摄影的测量结果，儿童被分为三类变形（轻度，中度，严重）。诊断和治疗分为两个阶段：小儿阶段（最大5个月大）和神经外科阶段（从5个月起）。仅在5个月大时接受姿势改变和物理治疗的儿童才能接受神经外科咨询。协议中说明了原因，该协议还定义了每个专业的功能和职责。结论。本文提出的治疗方法是分阶段进行的，首先是姿势改变和物理治疗，然后是矫形颅骨器械，最后是外科手术治疗。

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