Junaid Muhammad, Bukhari Syed Sarmad, Saeed Mobasher Ahmad, Rashid Mamoon Ur
Lt. Col. Dr. Muhammad Junaid, FCPS. Associate Professor of Neurosurgery, Bahria University Medical and Dental College, Karachi, Pakistan.
Dr. Syed Sarmad Bukhari, MBBS. Khyber Teaching Hospital, Peshawar, Pakistan.
Pak J Med Sci. 2017 Jul-Aug;33(4):915-919. doi: 10.12669/pjms.334.12003.
Craniotomy bone flaps should be replaced for both cosmetic and protective purposes. Different methods are available commercially. The aim of this study was to assess outcome of bone flap fixation using mini titanium plates and screws.
Between March, 2011 and March, 2014, 71 patients underwent cranial bone flap fixation with mini titanium plates and screws after craniotomy and excision of supratentorial lesions at Combined Military Hospital, Peshawar. There were 42 males and 30 females with a mean age of 40.07. All patients had supratentorial lesions. Intracranial lesion size ranged from 3 cm by 2 cm to 7 cm by 5 cm. The changes of local incision and general condition were observed.
Subcutaneous effusion occurred in two patients. One patient developed a mild postoperative wound infection. CT scan showed good repositioning of the flap and edge to edge apposition at two weeks after operation. All the patients were followed up for 12 months post operatively. Skull had good appearance without any discharge and, local deformity or effusion. Repeat CT/MRI showed no subsidence or displacement of cranial flap or artifacts.
Mini titanium plate and screw fixation of cranial flaps is a simple, cost effective and safe option for repositioning and immediate stability as compared to traditional sutures.
为了美观及保护的目的，开颅术后的骨瓣需要复位。市面上有多种不同的方法。本研究的目的是评估使用微型钛板和螺钉固定骨瓣的效果。
2011年3月至2014年3月期间，白沙瓦联合军事医院对71例行开颅手术并切除幕上病变的患者，使用微型钛板和螺钉进行颅骨瓣固定。其中男性42例，女性30例，平均年龄40.07岁。所有患者均有幕上病变。颅内病变大小范围为3厘米×2厘米至7厘米×5厘米。观察局部切口及全身情况的变化。
2例患者出现皮下积液。1例患者发生轻度术后伤口感染。术后两周CT扫描显示骨瓣复位良好，边缘对合紧密。所有患者术后随访12个月。颅骨外观良好，无任何渗出、局部畸形或积液。复查CT/MRI显示颅骨瓣无下沉或移位，也无伪影。
与传统缝线相比，微型钛板和螺钉固定颅骨瓣是一种简单、经济有效且安全的复位及即刻稳定的选择。
