Hospital de Crânio e Face SOBRAPAR, Institute of Plastic and Craniofacial Surgery, Campinas-SP, Brazil.
J Plast Reconstr Aesthet Surg. 2011 Sep;64(9):e237-40. doi: 10.1016/j.bjps.2010.11.011. Epub 2011 Jul 7.
We describe an infant with severe aplasia cutis congenita of the scalp that was characterised by a full-thickness calvarial bone defect combined with the absence of dura mater complicated by sagittal sinus haemorrhage. The defect was successfully managed by closure with a local temporal flap combined with a periosteum patch to allow closure of the dura mater. Previously, conservative treatments failed to remedy unexpected, massive bleeding, which could potentially threaten a patient's life. We highlight the osteogenic potential of surgically manipulated dura mater in this patient who was managed early with a surgical approach.
我们描述了一例头皮严重先天性全层颅骨发育不全的婴儿，其特点是颅骨全层骨缺损，伴有硬脑膜缺失，并发矢状窦出血。该缺损通过使用局部颞部皮瓣和骨膜补丁成功闭合，从而使硬脑膜得以闭合。此前，保守治疗未能纠正意外的大量出血，这可能会威胁患者的生命。我们强调了在这名患者中手术处理硬脑膜的成骨潜力，该患者早期通过手术方法进行了治疗。
