LoPresti Melissa A, Nguyen Joshua, Lam Sandi K
1Department of Neurosurgery, Baylor College of Medicine, Houston.
2Division of Pediatric Neurosurgery, Texas Children's Hospital, Houston, Texas.
J Neurosurg Pediatr. 2020 Apr 10;26(1):98-103. doi: 10.3171/2020.1.PEDS19541. Print 2020 Jul 1.
Head immobilization devices with skull pins are commonly used by neurosurgeons to stabilize the head for microsurgical techniques and to maintain accurate intraoperative neuronavigation. Pediatric patients, who may have open fontanelles, unfused sutures, and thin skulls, are vulnerable to complications during placement in pins. We review the various methods of pinning in pediatric neurosurgery and revisit the modified rubber stopper technique using a commonly available rubber stopper from a medication bottle over a standard adult pin of a Mayfield head clamp to prevent the pins from plunging through the thin pediatric skull.
带有颅骨针的头部固定装置被神经外科医生广泛用于在显微外科技术中稳定头部，并维持术中精确的神经导航。儿科患者可能存在囟门未闭、缝线未融合以及颅骨较薄的情况，在颅骨针置入过程中容易出现并发症。我们回顾了儿科神经外科中各种颅骨针固定方法，并重新探讨了改良的橡胶塞技术，即使用药瓶中常见的橡胶塞套在Mayfield头架的标准成人颅骨针上，以防止颅骨针穿透儿科患者较薄的颅骨。
