Silav Gökalp, Bölükbaşı Fatih Han, Özek Erdinç, Tönge Mehmet, Önöz Mustafa, Elmacı İlhan
Department of Neurosurgery, Medipol University Faculty of Medicine, Istanbul, Turkey.
Pediatr Neurosurg. 2015;50(3):161-4. doi: 10.1159/000381748. Epub 2015 May 14.
Cranial vault reconstruction in the pediatric population is a specialized procedure, which requires additional considerations. Generally, inherent difficulties of bone storage and cranioplasty are neglected in the literature. We present a simple method of bone storage and autologous cranioplasty in a small child with severe head injury. The child underwent surgical treatment with decompressive craniectomy. A bone flap was transversally divided into two pieces and stored under the galea. Bone storage and reconstruction of the cranial vault with our surgical technique is a safe, easy and cost-effective choice excluding the surgical trauma to obtain a new subcutanous pocket for bone storage in pediatric decompressive craniectomy patients.
小儿颅骨重建是一项特殊的手术，需要额外考虑诸多因素。一般来说，文献中往往忽略了骨储存和颅骨成形术固有的困难。我们介绍一种针对一名重度颅脑损伤幼儿的简单骨储存和自体颅骨成形术方法。该患儿接受了去骨瓣减压手术治疗。骨瓣被横向分成两片并储存在帽状腱膜下。采用我们的手术技术进行骨储存和颅骨穹窿重建，对于小儿去骨瓣减压术患者而言，是一种安全、简便且经济有效的选择，同时避免了为获得用于骨储存的新皮下腔隙而造成的手术创伤。
