Rish B L, Dillon J D, Meirowsky A M, Caveness W F, Mohr J P, Kistler J P, Weiss G H
Neurosurgery. 1979 May;4(5):381-5. doi: 10.1227/00006123-197905000-00002.
A total of 491 cranioplasties performed in a population of 1030 cases of penetrating head injury are reviewed. The morbidity rate was 5.5%, and the mortality rate was 0.2%. The clinical criteria of improving cosmetic defects and restoring craniocerebral protection are established, based on the location and size of the skull defect. Cranioplasty after penetrating head injury should be deferred for a minimum of 1 year to control morbidity. Complication of the original injury and surgical debridement increase the morbidity rate of cranioplasty. Post-traumatic epilepsy is not related to skull defects per se; neither is it affected by cranioplasty. Acrylic is an acceptable cranioplasty material if there is strict adherence to good surgical technique.
回顾了1030例穿透性颅脑损伤患者中进行的491次颅骨修补术。发病率为5.5%，死亡率为0.2%。根据颅骨缺损的位置和大小，确立了改善美容缺陷和恢复颅脑保护的临床标准。穿透性颅脑损伤后的颅骨修补术应至少推迟1年以控制发病率。原发损伤和手术清创的并发症会增加颅骨修补术的发病率。创伤后癫痫本身与颅骨缺损无关；颅骨修补术也不会对其产生影响。如果严格遵循良好的手术技术，丙烯酸是一种可接受的颅骨修补材料。
