Wolvius E B, van der Wal K G H
Department of Oral and Maxillofacial Surgery, Erasmus MC, Rotterdam, The Netherlands.
Int J Oral Maxillofac Surg. 2003 Dec;32(6):656-8. doi: 10.1054/ijom.2002.0394.
Bone wax was used to stop bleeding of the diploic vessels after harvesting cranial bone for reconstruction of an orbital floor defect. After five months a fistula in the overlying skin of the donor site appeared and was eventually surgically explored. Remnants of bone wax and surrounding inflammatory tissue were removed and the fistula was excised. Histological examination revealed a foreign body granuloma. The use of bone wax and possible alternative local haemostatic agents and their complications are discussed.
在获取颅骨用于修复眶底缺损后，使用骨蜡来止住板障血管出血。五个月后，供区上方皮肤出现瘘管，最终进行了手术探查。清除了骨蜡残余物和周围的炎性组织，并切除了瘘管。组织学检查显示为异物肉芽肿。本文讨论了骨蜡的使用以及可能的替代局部止血剂及其并发症。
