Department of Cranio-Maxillofacial Surgery, Maastricht University Medical Center, P. Debyelaan, NL-6202 AZ Maastricht, The Netherlands.
J Craniomaxillofac Surg. 2011 Sep;39(6):435-40. doi: 10.1016/j.jcms.2010.10.003. Epub 2010 Nov 4.
Large skull bone defects resulting from craniotomies due to cerebral insults, trauma or tumours create functional and aesthetic disturbances to the patient. The reconstruction of large osseous defects is still challenging. A treatment algorithm is presented based on the close interaction of radiologists, computer engineers and cranio-maxillofacial surgeons. From 2004 until today twelve consecutive patients have been operated on successfully according to this treatment plan. Titanium and polyetheretherketone (PEEK) were used to manufacture the implants. The treatment algorithm is proved to be reliable. No corrections had to be performed either to the skull bone or to the implant. Short operations and hospitalization periods are essential prerequisites for treatment success and justify the high expenses.
由于脑损伤、创伤或肿瘤而进行的开颅手术后，会导致大块颅骨缺损，从而给患者造成功能和美观上的障碍。目前，对于大块骨缺损的重建仍然具有挑战性。本研究提出了一种基于放射科医生、计算机工程师和颅面外科医生密切合作的治疗方案。自 2004 年以来，根据该治疗方案，连续成功为 12 名患者进行了手术。钛和聚醚醚酮（PEEK）被用于制造植入物。该治疗方案已被证明是可靠的。颅骨或植入物均无需进行修正。手术时间短和住院时间短是治疗成功的基本前提，也是高费用的合理依据。
