Robinson A C, O'Dwyer T P, Gullane P J, Dolan E J
Department of Otolaryngology, University of Toronto, Ontario, Canada.
J Otolaryngol. 1989 Aug;18(5):241-4.
A case of squamous cell carcinoma of the fronto-ethmoid complex in an 18-year-old man is presented. At the time of resection both the anterior and posterior tables of the frontal sinus had to be removed. The resulting surgical defect left a marked cosmetic deformity. CT scan five months after the resection suggested calcification with possible ossification of the dura. Exploration of the area confirmed these findings. Because of the firmness of the dura it was possible to contour a methyl methacrylate template to fill the defect. This was wired to the surrounding bone and provided an excellent cosmetic result. The principle of dural osteogenesis is described, and cranioplasty methods are reviewed.
本文报道了一例18岁男性额筛窦复合体鳞状细胞癌的病例。手术切除时，额窦的前后骨板均需切除。由此产生的手术缺损导致了明显的美容畸形。切除术后五个月的CT扫描显示硬脑膜有钙化，可能还有骨化。对该区域进行探查证实了这些发现。由于硬脑膜质地坚硬，可以制作一个甲基丙烯酸甲酯模板来填充缺损。将其用金属丝固定在周围的骨头上，获得了极佳的美容效果。文中描述了硬脑膜骨生成的原理，并对颅骨成形术方法进行了综述。
