Vignes Jean-Rodolphe, Jeelani N u Owase, Dautheribes Michel, San-Galli François, Liguoro Dominique
Department of Neurosurgery A, CHU de Bordeaux, University of Bordeaux 2, Bordeaux, France.
J Craniomaxillofac Surg. 2007 Apr;35(3):185-8. doi: 10.1016/j.jcms.2007.04.002. Epub 2007 Jun 29.
In infants, calvarial defects are generally repaired with autologous grafts. However, with large defects, these techniques can be associated with complications such as bone graft resorption, loss of blood, or local infection. Alternative materials are available for cranioplasty including metals or acrylic.
We report the case of a 3.2kg boy who had a traumatic vaginal delivery and developed a growing skull fracture resulting in a large cranial defect (50cm(2)). We describe a specific technique of cranioplasty by interposing a titanium plate between the duroplasty and bone elements, without fixation, with autologous bone fragments deposited over the mesh. Long-term follow-up was satisfactory.
For large skull defects in infants, the technique described affords protection to the intracranial components, induces osteogenesis in a growing cranial skeleton, and provides satisfactory aesthetic results.
在婴儿中，颅骨缺损通常采用自体移植物修复。然而，对于大型缺损，这些技术可能会伴有诸如骨移植吸收、失血或局部感染等并发症。颅骨成形术有其他材料可供选择，包括金属或丙烯酸材料。
我们报告一例3.2千克男婴，其经阴道分娩时受伤，发生了颅骨生长性骨折，导致一个大型颅骨缺损（50平方厘米）。我们描述了一种颅骨成形术的特定技术，即在硬脑膜成形术和骨成分之间置入一块钛板，不进行固定，同时将自体骨碎片放置在网片上。长期随访结果令人满意。
对于婴儿的大型颅骨缺损，所描述的技术可为颅内结构提供保护，在生长中的颅骨骨骼中诱导骨生成，并提供令人满意的美学效果。
