González-Darder José Manuel
Servicio de Neurocirugía, Hospital Clínico Universitario, Valencia, España.
Neurocirugia (Astur). 2016 Sep-Oct;27(5):245-57. doi: 10.1016/j.neucir.2016.02.002. Epub 2016 Mar 19.
Craniotomy can be defined as the neurosurgical procedure aimed at achieving a wide cranial opening with the final purpose of performing a surgical therapeutic manoeuvre within the intracranial space. The current surgical technique for craniotomy is the final result of the development of the procedure since its introduction at the end of the 19th century. The very first wide cranial approach was introduced in 1889 by Wagner, and described as a 'temporary cranial resection'. This procedure could be named today as 'osteoplastic craniotomy with pedicle bone flap'. The final result of the procedural development of the craniotomy is the 'osteoplastic craniotomy with free bone flap', used widely around the world. In this paper, we review the historic evolution of craniotomy from a technical perspective.
开颅手术可定义为一种神经外科手术，旨在实现广泛的颅骨开口，最终目的是在颅内空间内进行手术治疗操作。当前的开颅手术技术是该手术自19世纪末引入以来发展的最终成果。1889年，瓦格纳首次引入了第一种广泛的颅骨入路，并将其描述为“暂时性颅骨切除术”。如今，这个手术可被称为“带蒂骨瓣的骨成形性开颅手术”。开颅手术程序发展的最终成果是“游离骨瓣的骨成形性开颅手术”，在全球范围内广泛应用。在本文中，我们从技术角度回顾开颅手术的历史演变。
