Department of Cranio-Maxillofacial Surgery, Medical University of Warsaw, Poland.
Department of Cranio-Maxillofacial Surgery, Medical University of Warsaw, Poland.
Neurol Neurochir Pol. 2014 Jan-Feb;48(1):8-14. doi: 10.1016/j.pjnns.2013.03.003. Epub 2014 Jan 23.
The upper cranial trauma of high force and wide area of application leads to fractures of calvaria, the skull base, and the viscerocranium. The aim of the study was to present eleven patients treated for severe anterior skull base and facial defects by means of three-layered osteodural plasty.
The operative tactics consisted of bicoronal incision, bifrontal craniotomy, closure of the dura mater damage with a pericranium, reconstruction of bone defects with autologous bone grafts and plasty with anteriorly pedicled pericranial flap on the supratrochlear and supraorbital vessels.
During follow-up, which lasted 2-7 years, none of the patients developed any early or late postoperative complications.
The three-layer osteodural plasty of severe anterior skull base injuries with the use of autologous bone grafts for the reconstruction of craniofacial skeleton resulted in a good final functional, morphological and aesthetic outcome in all patients.
高能量、大面积的颅上部外伤可导致颅骨、颅底和面骨骨折。本研究的目的是介绍 11 例因严重前颅底和面骨缺损而采用三层骨-硬脑膜成形术治疗的患者。
手术策略包括冠状切口、额骨双侧开颅术、用颅骨膜闭合硬脑膜损伤、用自体骨移植物重建骨缺损，并在前额血管的滑车上动脉和眶上动脉上使用带蒂的额前颅骨膜瓣进行修复。
在 2-7 年的随访期间，所有患者均未出现任何早期或晚期术后并发症。
对于严重的前颅底损伤，采用自体骨移植物进行颅颌面骨骼重建的三层骨-硬脑膜成形术，可使所有患者获得良好的最终功能、形态和美学效果。
