用于即刻颅骨重建以优化美观的原位颅骨成形术技术
In Situ Cranioplasty Technique for Immediate Calvarial Reconstruction to Optimize Cosmesis.
作者信息
Gallia Gary L
机构信息
Departments of Neurosurgery, Otolaryngology-Head and Neck Surgery, and Oncology, Johns Hopkins Hospital, Baltimore, Maryland, USA.
出版信息
World Neurosurg. 2016 May;89:535-9. doi: 10.1016/j.wneu.2016.02.027. Epub 2016 Feb 12.
OBJECTIVE
One of the goals of calvarial reconstruction after craniectomy is optimization of cosmesis. A simple technique for intraoperative generation of an implant based on the patient's native skull contour for immediate skull reconstruction after craniectomy is described.
METHODS
In this technique, a titanium mesh is molded to the contour of the skull in situ and temporarily secured to the calvarium before the craniectomy. After the definitive portion of the procedure, the implant is resecured using the predrilled holes in the skull.
RESULTS
In situ titanium cranioplasties are easily contoured to the patient's native skull before, and resecured after, craniectomy. Postoperative cosmesis is excellent.
CONCLUSIONS
In selected cases, this technique for in situ cranioplasty before craniectomy generates an implant that mimics the patient's calvarium and results in excellent cosmetic outcomes.
目的
颅骨切除术后颅骨重建的目标之一是优化美观效果。本文描述了一种简单的技术，可在术中根据患者的颅骨轮廓制作植入物，用于颅骨切除术后立即进行颅骨重建。
方法
在该技术中，将钛网在原位塑形成颅骨轮廓，并在颅骨切除术前临时固定于颅盖骨。在手术的最终阶段完成后，通过颅骨上预先钻好的孔重新固定植入物。
结果
原位钛颅骨成形术在颅骨切除术前很容易根据患者的颅骨进行塑形，并在术后重新固定。术后美观效果极佳。
结论
在特定病例中，这种颅骨切除术前原位颅骨成形术技术可制作出模仿患者颅盖骨的植入物，并产生极佳的美容效果。
Zotero 插件