Vougioukas Vassilios I, Hubbe Ulrich, van Velthoven Vera, Freiman Thomas M, Schramm Alexander, Spetzger Uwe
Department of Neurosurgery, Albert-Ludwigs University of Freiburg, Freiburg im Breisgau, Germany.
Neurosurgery. 2004 Jul;55(1):162-7; discussion 167. doi: 10.1227/01.neu.0000126940.20441.e7.
Cranial defects resulting from congenital deformities, ablative resection of osseous tumors, traumatic injury, and destructive infectious lesions are often severe enough to warrant surgical reconstruction. In particular cases, satisfactory cosmetic results may be difficult to achieve because of the extent and location of the lesion.
We evaluated the role of neuronavigation for reconstruction of large cranial defects with prefabricated titanium and intraoperatively constructed neuronavigation-assisted polymethylmethacrylate implants.
Neuronavigation-assisted cranial reconstruction was performed in 14 patients. Surgical procedure, illustrative cases, postoperative results, and apparent benefits of the technique are presented and discussed. In all patients, excellent cosmetic results were achieved.
In cranial reconstruction, neuronavigation is of value not only for intraoperative determination of resection margins but also for preoperative assessment and planning. The combination of navigation techniques with prefabricated or intraoperatively constructed implants enables achievement of excellent cosmetic results.
先天性畸形、骨肿瘤切除、创伤性损伤以及破坏性感染性病变导致的颅骨缺损往往严重到需要进行手术重建。在某些特定情况下，由于病变的范围和位置，可能难以获得满意的美容效果。
我们评估了神经导航在使用预制钛和术中构建的神经导航辅助聚甲基丙烯酸甲酯植入物重建大型颅骨缺损中的作用。
对14例患者进行了神经导航辅助颅骨重建。介绍并讨论了手术过程、典型病例、术后结果以及该技术的明显优势。所有患者均获得了出色的美容效果。
在颅骨重建中，神经导航不仅对术中确定切除边界有价值，而且对术前评估和规划也有价值。将导航技术与预制或术中构建的植入物相结合能够实现出色的美容效果。
