颅骨成形术：一种新视角。
Cranioplasty: A New Perspective.
作者信息
Abdelaziz Mostafa Elkatatny Amr Abdelmonam, Eldabaa Karim Abdelaziz
机构信息
Kasr Alainy Medical school, Cairo University, Cairo, Egypt.
出版信息
Open Access Maced J Med Sci. 2019 Jun 30;7(13):2093-2101. doi: 10.3889/oamjms.2019.489. eCollection 2019 Jul 15.
AIM
This work aims to present the different indication, benefits, possible complications and methods used for fixation of methyl methacrylate in cranioplasty. Also, 50 cases will be presented demonstrating the different aetiologies of the defects, and the different techniques used for fixation of methyl methacrylate in cranioplasty.
METHODS
This investigation included a prospective study to be carried out on 50 patients with cranial defects of different aetiologies, sites and sizes to be operated upon in Cairo University Hospitals starting from August 2016 to April 2017.
RESULTS
The principal aims of cranioplasty in this study are to restore aesthetic contour and to provide cerebral protection. However, it has been noted that a great improvement occurs in cerebral blood flow and cerebral perfusion after cranioplasty.
CONCLUSION
Ball and socket technique appear to be a simple, safe economic and efficient method for fixation of cranioplasty flap. The high incidence of development of postoperative seroma suggests the necessity of-of a subgaleal drain placement for 48 hours.
目的
本研究旨在介绍甲基丙烯酸甲酯在颅骨成形术中的不同适应证、益处、可能的并发症及固定方法。此外，将展示50例病例，说明缺损的不同病因以及甲基丙烯酸甲酯在颅骨成形术中的不同固定技术。
方法
本调查包括一项前瞻性研究，从2016年8月至2017年4月在开罗大学医院对50例不同病因、部位和大小的颅骨缺损患者进行手术。
结果
本研究中颅骨成形术的主要目的是恢复美学轮廓并提供脑保护。然而，已经注意到颅骨成形术后脑血流量和脑灌注有很大改善。
结论
球窝技术似乎是一种简单、安全、经济且有效的颅骨成形术皮瓣固定方法。术后血清肿发生率高表明有必要放置帽状腱膜下引流管48小时。
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