Yin Jiangliu, Jiang Yugang
Department of Neurosurgery, Second Xiangya Hospital, Central South University Changsha, Hunan 410011, PR China ; Department of Neurosurgery, Changsha Central Hospital Changsha, Hunan 410006, China.
Department of Neurosurgery, Second Xiangya Hospital, Central South University Changsha, Hunan 410011, PR China.
Int J Clin Exp Med. 2014 Apr 15;7(4):1169-71. eCollection 2014.
Autologous skull flaps were frequently used in craniotomy, and after craniotomy, autologous skull flaps need to be replanted in situ at most of the time, and complications such as infection and resorption may occur. Ultimately, resorption may result in dislocation of the autologous skull flaps. Here we describe a case of completely resorption of autologous skull flap shortly after orthotopic transplantation which required an extra cranioplasty and potential causes were discussed. Improper processing procedure such as peeling periosteum excessively before replantation, and postoperative subdural effusion and the use of bone wax were considered to be responsible for the rapid complete resorption of the skull flap.
自体颅骨瓣常用于开颅手术，开颅术后，自体颅骨瓣大多需要原位重新植入，可能会发生感染和吸收等并发症。最终，吸收可能导致自体颅骨瓣移位。在此，我们描述了1例原位移植后不久自体颅骨瓣完全吸收的病例，并对可能的原因进行了讨论。术前过度剥离骨膜等不当处理程序、术后硬膜下积液以及骨蜡的使用被认为是颅骨瓣快速完全吸收的原因。
