Sonoda Yukihiko, Kato Hideaki, Ohyama Hideki, Niizuma Hiroshi
Department of Neurosurgery, Senseki Hospital, 53-7 Akai-aza, Higashi-matsushima, Miyagi 981-0501, Japan.
No Shinkei Geka. 2006 Jun;34(6):599-603.
Cranioplasty using methylmethacrylate is a common method in patients with cranial defects. However, it is often difficult to precisely restore a removed cranium. The authors developed a new technique of cranioplasty. In the present study, we first made a cast composed of methylmethacrylate using a bone flap. We then covered the cast with a sheet of wet gauze. The implant was made by applying methylmethacrylate cement onto the gauze. The implant is firmly fixed to the cranium with titanium plates. Five cranioplasties were perfomed using this new technique. All patients achieved excellent cosmetic results with no complications. This technique enables low-cost, easy and cosmetically successful cranioplastic surgery.
使用甲基丙烯酸甲酯进行颅骨成形术是治疗颅骨缺损患者的常用方法。然而,精确修复移除的颅骨往往很困难。作者开发了一种新的颅骨成形术技术。在本研究中,我们首先使用骨瓣制作了一个由甲基丙烯酸甲酯组成的模型。然后用一块湿纱布覆盖该模型。通过将甲基丙烯酸甲酯骨水泥涂抹在纱布上来制作植入物。该植入物通过钛板牢固地固定在颅骨上。使用这种新技术进行了5次颅骨成形术。所有患者均获得了极佳的美容效果,且无并发症。该技术能够实现低成本、简便且美容效果良好的颅骨成形手术。