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[额眶前移术后钛质骨固定板和螺钉的骨周颅内移位]

[Peri-osseous intracranial translocation of titanium osteosynthesis plates and screws after fronto-orbital advancement].

作者信息

Weingart D, Bublitz R, Michilli R, Class D

机构信息

Klinik für Kiefer- und Gesichtschirurgie, Plastische Operationen, Klinikum Stuttgart Katharinenhospital, Kriegsbergstrasse 60, 70174 Stuttgart.

出版信息

Mund Kiefer Gesichtschir. 2001 Jan;5(1):57-60. doi: 10.1007/PL00010794.

DOI:10.1007/PL00010794
PMID:11272389
Abstract

BACKGROUND

Perossoeus intracranial translocation or passive intracranial transmission of titanium osteosynthesis plates and screws in the growing skull following surgical craniosynostosis corrections, also referred to as the PIT effect, has been described in the literature since 1995. It is a phenomenon which has not received due attention until recently and is explained by appositional and resorptional remodeling processes in the growing skull.

CASE REPORT AND DISCUSSION

An impressive case of the PIT effect with a total intracranial dislocation of titanium plates and screws is used to demonstrate the problems associated with this phenomenon and to discuss the few clinical case reports in the English-language literature. The obvious advantages of a resorbable material are pointed out; however, it is still uncertain as to whether the resorption process is fast enough to avoid the PIT effect if used clinically.

摘要

背景

自1995年以来,文献中已描述了在生长中的颅骨进行手术矫正颅缝早闭后,钛质骨固定板和螺钉的经骨颅内移位或被动颅内传输,也称为PIT效应。这是一种直到最近才受到应有关注的现象,其原因是生长中的颅骨的附加和吸收重塑过程。

病例报告与讨论

一个钛板和螺钉完全颅内脱位的令人印象深刻的PIT效应病例被用来证明与这种现象相关的问题,并讨论英文文献中为数不多的临床病例报告。指出了可吸收材料的明显优点;然而,如果在临床上使用,吸收过程是否足够快以避免PIT效应仍不确定。

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引用本文的文献

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Comparison of Craniosynostosis Surgery Outcomes Using Resorbable Plates and Screws versus Absorbable Sutures in Children with Craniosynostosis.可吸收板和螺钉与可吸收缝线用于儿童颅缝早闭手术的疗效比较
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