Ong Adrian A, Manning James P, Vincent Aurora G, Namin Arya W, Wang Weitao, Ducic Yadranko
Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas.
Department of Otolaryngology-Head and Neck Surgery, University of Rochester, Rochester, New York.
Facial Plast Surg. 2021 Dec;37(6):698-702. doi: 10.1055/s-0041-1735560. Epub 2021 Sep 14.
Calvarial defects are commonly encountered after neurosurgical procedures, trauma, and ablative procedures of advanced head neck cancers. The goals of cranioplasty are to provide a protective barrier for the intracranial contents, to restore form, and prevent syndrome of the trephined. Autologous and alloplastic techniques are available, each with their advantages and drawbacks. A multitude of materials are available for cranioplasty, and proper timing of reconstruction with attention to the overlying skin envelope is important in minimizing complications.
颅骨缺损在神经外科手术后、创伤以及晚期头颈癌的切除手术后很常见。颅骨修补术的目的是为颅内内容物提供保护屏障、恢复外形并预防颅骨钻孔综合征。自体和异体材料技术都可行,每种都有其优缺点。有多种材料可用于颅骨修补,在尽量减少并发症方面,注意覆盖头皮并把握合适的重建时机很重要。