Feroze Abdullah H, Walmsley Graham G, Choudhri Omar, Lorenz H Peter, Grant Gerald A, Edwards Michael S B
Institute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine;
Division of Pediatric Neurosurgery, Department of Neurosurgery, Lucille Packard Children's Hospital; and.
J Neurosurg. 2015 Oct;123(4):1098-107. doi: 10.3171/2014.11.JNS14622. Epub 2015 Feb 20.
Cranial bone repair is one of the oldest neurosurgical practices. Reconstructing the natural contours of the skull has challenged the ingenuity of surgeons from antiquity to the present day. Given the continuous improvement of neurosurgical and emergency care over the past century, more patients survive such head injuries, thus necessitating more than ever before a simple, safe, and durable means of correcting skull defects. In response, numerous techniques and materials have been devised as the art of cranioplasty has progressed. Although the goals of cranioplasty remain the same, the evolution of techniques and diversity of materials used serves as testimony to the complexity of this task. This paper highlights the evolution of these materials and techniques, with a particular focus on the implications for managing pediatric calvarial repair and emerging trends within the field.
颅骨修复是最古老的神经外科手术之一。从古至今,重建颅骨的自然轮廓一直考验着外科医生的智慧。鉴于在过去一个世纪里神经外科和急救护理的不断进步,更多此类头部受伤的患者得以存活,因此比以往任何时候都更需要一种简单、安全且持久的方法来矫正颅骨缺损。作为回应,随着颅骨成形术技术的发展,人们设计出了众多技术和材料。尽管颅骨成形术的目标保持不变,但技术的演变和所用材料的多样性证明了这项任务的复杂性。本文着重介绍这些材料和技术的发展,特别关注其对小儿颅骨修复管理的影响以及该领域的新趋势。