Madaree Anil, Moyeni Nondabula, Le Roux Petrus Andries Jacobus, Pillay Trishan
Department of Plastic Surgery.
Department of Neurosurgery, Inkosi Albert Luthuli Central Hospital, Nelson R Mandela School of Medicine, University of Kwazulu Natal, Durban, South Africa.
J Craniofac Surg. 2019 Nov-Dec;30(8):2341-2344. doi: 10.1097/SCS.0000000000005778.
Craniofacial surgeons are often confronted with major defects of the calvarium. These most commonly are post-traumatic but could also be consequent upon neurosurgical procedures, infection, or tumor removal. There are several options available to reconstruct these defects including autogenous, heterogeneous, and alloplastic material. The goal is to have a method that is easy, cost-effective, with minimal complications, and long-lasting. In our unit we review 100 cases of the use of stock titanium mesh during a 5-year period. Complications occurred in 5 patients (5%) with 3 exposures, 1 late seroma and 1 case requiring repositioning of the plate following trauma. None of the patients required removal of the plate.
颅面外科医生经常面临颅骨的重大缺损。这些缺损最常见于创伤后,但也可能是神经外科手术、感染或肿瘤切除的后果。重建这些缺损有几种选择,包括自体材料、异种材料和异体材料。目标是要有一种简单、经济有效、并发症最少且持久的方法。在我们科室,我们回顾了5年内100例使用库存钛网的病例。5例患者(5%)出现并发症,其中3例钛网外露,1例出现迟发性血清肿,1例在创伤后需要重新放置钛板。没有患者需要取出钛板。