Lin Frank, Wong Vanessa H, Ekanayake Gayan, Holmes Anthony D, Greensmith Andrew L, Wray Alison C, Chong David K
Royal Children's Hospital Melbourne, Victoria, Australia.
J Craniofac Surg. 2012 Sep;23(5):1382-4. doi: 10.1097/SCS.0b013e31825431a7.
Spring cranioplasty is now a well-established surgical technique in the treatment of sagittal craniosynostosis. It is widely regarded as a less invasive modality compared with operations such as cranial vault remodeling. Indeed, very few complications have been described in the literature in association with spring cranioplasty. We present a case of delayed sagittal sinus tear with hemorrhage following spring cranioplasty in a 4-month-old patient with sagittal craniosynostosis. Likely causes of the injury are discussed highlighting sagittal sinus injury as a potential risk of spring cranioplasty.
弹簧式颅骨成形术现已成为治疗矢状缝早闭的一种成熟的外科技术。与颅骨重塑等手术相比，它被广泛认为是一种侵入性较小的术式。事实上，文献中很少描述与弹簧式颅骨成形术相关的并发症。我们报告了一例4个月大的矢状缝早闭患儿在接受弹簧式颅骨成形术后出现延迟性矢状窦撕裂并出血的病例。文中讨论了损伤的可能原因，强调矢状窦损伤是弹簧式颅骨成形术的一种潜在风险。
