Ishikawa Yohei, Kamochi Hideaki, Ishizaki Ryuji, Wataya Takafumi
Department of Plastic Surgery, Shizuoka Children's Hospital, Shizuoka, Japan.
Department of Plastic, Reconstructive and Aesthetic Surgery, Saitama Medical University, Saitama, Japan.
Plast Reconstr Surg Glob Open. 2022 Jul 20;10(7):e4432. doi: 10.1097/GOX.0000000000004432. eCollection 2022 Jul.
We report our experiences of two pediatric cases in which a bone flap was preserved in the subcutaneous abdominal pocket for decompressive craniectomy. In one case, the bone flap was divided and preserved for cranioplasty without complications; in the other case, the bone flap was left intact as one piece. In pediatric patients, the storage space for a bone flap is sometimes difficult to achieve, and the technique described herein is useful in such situations. Notably, because the bone resorption rate with cryopreservation is higher in pediatric patients, in vivo preservation may be more useful in this population.
我们报告了两例儿科病例的经验，其中骨瓣被保存在腹部皮下袋中用于减压颅骨切除术。在一例中，骨瓣被分割并保存用于颅骨成形术，无并发症；在另一例中，骨瓣保持完整为一块。在儿科患者中，有时难以获得骨瓣的储存空间，本文所述技术在此类情况下有用。值得注意的是，由于儿科患者冷冻保存时的骨吸收速率较高，体内保存可能对此人群更有用。
