五、治疗

五、治疗

(一)一般治疗

1.多以保守治疗为主,实施早期有效的体育锻炼。根据临床症状及具体需要应用最合适的整形外科手术,包括脊柱侧凸的手术融合,手足异常的修复等。

2.严重脊柱侧凸患者也可行手术治疗,但神经损伤的风险较大的,有学者主张早期手术干预以防止畸形进展。

3.其他部分多发翼状胬肉,可通过手术治疗,尽量恢复其正常形态功能。

(二)口腔颌面部异常相关的治疗建议

1.早期进行唇腭裂的修复,尽早恢复患者唇腭部正常形态和功能。

2.对于牙齿错位、腭部高拱在腭部的发育高峰期通过扩弓可获得较好的治疗效果,相较于外科手术矫治,稳定性上有明显的优势。并在扩弓后排齐牙齿,解除牙列不齐。

3.对于颌面部畸形应在颈部翼状胬肉手术后行正颌手术治疗。但若存在颞下颌关节受累时,并且考虑到颈部翼状胬肉对下颌的影响,不宜进行下颌前移和颏成形手术。(https://www.daowen.com)

参考文献

[1]Sözbilen M C.Escobar(multiple pterygium)syndrome:Multidisciplinary approach to a very rare syndrome[J].Joint Diseases and Related Surgery,2016,27(3):171-174.

[2]Marques F B C,de Morais L S,Squeff L R,et al.Escobar syndrome:An multidisciplinary approach for an excellent outcome with 3 years of follow-up[J].The Cleft Palate-Craniofacial Journal,2019,56(7):970-977.

[3]Dodson C C,Boachie-Adjei O.Escobar syndrome(multiple pterygium syndrome)associated with thoracic kyphoscoliosis,lordoscoliosis,and severe restrictive lung disease:A case report[J].HSS Journal,2005,1(1):35-39.

[4]Ezirmik N,Yildiz K,Can C E.Escobar syndrome mimicing congenital patellar syndrome[J].The Eurasian Journal of Medicine,2012,44(2):117-121.

[5]Amalnath D S,Subrahmanyam D K S,Sridhar S,et al.Escobar syndrome in three male patients of same family[J].Indian Journal of Human Genetics,2011,17(1):22-25.

[6]Kariminejad A,Almadani N,Khoshaeen A,et al.Truncating CHRNG mutations associated with interfamilial variability of the severity of the Escobar variant of multiple pterygium syndrome[J].BMC Genetics,2016,17:71.

(李姮 邢向辉)