Gürbüz Mehmet Sabri, Celik Ozgur, Berkman Mehmet Zafer
Department of Neurosurgery, Haydarpaşa Numune Education and Research Hospital, Istanbul, Turkey.
J Korean Neurosurg Soc. 2012 Nov;52(5):498-500. doi: 10.3340/jkns.2012.52.5.498. Epub 2012 Nov 30.
Cranioplasty is performed using autograft and allograft materials on patients to whom craniectomy was applied previously due to the facts that, this region is open to trauma and the scalp makes irritation and pressure onto the brain paranchyma causing brain atrophy and convulsions. Dramatical improvement of neurological deficits, control of convulsions and partial prevention of cerebral atrophy are achieved after these operations. One of the most important complications of cranioplasty is late infection. Here, we report a 43-year-old male patient admitted with the history of purulant discharge from the right temporal incission site for one year to whom cranioplasty had been performed with allograft material 20 days after craniectomy which had been performed in 1989. Allograft cranioplasty material was removed and cranioplasty was performed using new allograft material with the diagnosis of late cranioplasty infection.
由于该区域易受外伤，且头皮会对脑实质产生刺激和压力，导致脑萎缩和惊厥，因此颅骨成形术使用自体移植和同种异体移植材料对先前接受过颅骨切除术的患者进行。这些手术后可显著改善神经功能缺损、控制惊厥并部分预防脑萎缩。颅骨成形术最重要的并发症之一是晚期感染。在此，我们报告一名43岁男性患者，因右颞部切口处脓性分泌物排出史1年入院，该患者于1989年接受颅骨切除术后20天使用同种异体移植材料进行了颅骨成形术。取出同种异体颅骨成形材料，诊断为颅骨成形术晚期感染后，使用新的同种异体移植材料进行了颅骨成形术。
