长期头皮牵拉技术结合外固定器治疗凹陷皮瓣综合征
Long-Standing Scalp Retraction Technique Using an External Fixator for Sunken Skin Flap Syndrome.
机构信息
Department of Neurosurgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon-si, Gyeonggi-do, Republic of Korea.
出版信息
Oper Neurosurg (Hagerstown). 2017 Dec 1;13(6):E28-E32. doi: 10.1093/ons/opx036.
BACKGROUND AND IMPORTANCE
The authors report a novel external scalp retraction technique for sunken skin flap syndrome (SSFS).
CLINICAL PRESENTATION
A 48-year-old male patient suffered neurological deterioration due to SSFS after decompressive craniectomy. Cranioplasty is the gold standard for therapeutic management of SSFS, but could not be performed due to intracranial wound infection. The patient underwent external fixation of a metal plate as a frame for the skull and the scalp was pulled outward to the frame by skin suture. The patient returned to daily activities at home for 3 months with this scalp traction frame, which was needed for infection control.
CONCLUSION
External scalp traction is useful for the temporary relief of pressure caused by SSFS.
背景与重要性
作者报告了一种新的头皮外牵拉技术，用于治疗凹陷皮瓣综合征（SSFS）。
临床表现
一名 48 岁男性患者因减压性颅骨切除术发生 SSFS 后出现神经功能恶化。颅骨成形术是治疗 SSFS 的金标准，但由于颅内伤口感染而无法进行。患者接受了金属板的外固定作为颅骨的框架，头皮通过皮肤缝线向外拉到框架上。患者在头皮牵引框架的帮助下在家中恢复了 3 个月的日常活动，该框架用于控制感染。
结论
头皮外牵引对于暂时缓解 SSFS 引起的压力是有用的。
Zotero 插件