Department of Surgery, Discipline of Neurosurgery.
Santa Casa de Sao Paulo School of Medical Sciences, São Paulo, Brazil.
J Craniofac Surg. 2021;32(1):293-296. doi: 10.1097/SCS.0000000000007103.
Cranioplasty is a common neurosurgical procedure. The main reasons for performing cranioplasty are, in addition to aesthetic correction and protection of the brain, the reestablishment of the adequate flow of cerebrospinal fluid and the prevention of complications inherent to the perpetuation of bone failure. In our institution the patient's autologous bone remains the best method for performing cranioplasty, despite the existence of other heterologous grafts and bone substitutes. Despite representing for us, the best material for cranioplasty, the use of autologous grafting is subject to complications. In this paper, the authors present the case of a patient who underwent cranioplasty with autologous bone that progressed with spontaneous resorption of the bone flap. The authors herein briefly discuss the case and review the literature on the subject, with an emphasis on the factors that can lead to such an outcome.
颅骨修补术是一种常见的神经外科手术。进行颅骨修补术的主要原因除了美容矫正和保护大脑外，还在于重新建立足够的脑脊液流动，以及预防因骨缺损持续存在而导致的并发症。在我们机构，患者的自体骨仍然是进行颅骨修补术的最佳方法，尽管存在其他同种异体移植物和骨替代品。尽管自体移植物是我们进行颅骨修补术的最佳材料，但它的使用也会引起并发症。本文作者介绍了一例使用自体骨进行颅骨修补术的患者，该患者的骨瓣出现自发性吸收。作者在此简要讨论了该病例，并对该主题的文献进行了回顾，重点讨论了可能导致这种结果的因素。
