Sahoo Nanda Kishore, Tomar Kapil, Thakral Ankur, Rangan N Mohan
Department of Oral & Maxillofacial Surgery, CMDC (CC), Lucknow, Uttar Pradesh.
INHS Ashwani, Colaba, Mumbai, Maharashtra.
J Craniofac Surg. 2018 Jul;29(5):1344-1348. doi: 10.1097/SCS.0000000000004478.
Cranioplasty is a time-honoured surgical procedure to restore the calvarial form and function that is associated with a relatively high complication rate. The present article analyzed various complications and reviewed the complications based on study of the relevant research in the craniofacial literature. Complications were broadly divided into 2 groups, intraoperative and postoperative, for ease of understanding. The etiological factors, local and systemic condition of the patient, prevention, and management of various complications were widely discussed. The article also highlighted problems and complications associated with various reconstructive materials. Insights into various complications of cranioplasty enable surgeon to understand them better, minimize the chances of occurrence, and improve surgical outcome. In spite of reported high rate of complications, serious complications like meningitis, air embolism, and death are rare.
颅骨成形术是一种恢复颅骨形态和功能的历史悠久的外科手术,但其并发症发生率相对较高。本文分析了各种并发症,并基于对颅面文献相关研究的探讨对并发症进行了综述。为便于理解,并发症大致分为术中并发症和术后并发症两组。广泛讨论了各种并发症的病因、患者的局部和全身状况、预防措施及处理方法。本文还强调了与各种重建材料相关的问题和并发症。深入了解颅骨成形术的各种并发症能使外科医生更好地理解它们,减少发生几率,并改善手术效果。尽管报道的并发症发生率较高,但像脑膜炎、空气栓塞和死亡等严重并发症却很少见。