操作方法 - 寰枕减压术后采用“鼓皮”硬脑膜成形术治疗 Chiari 畸形。
How I do it - The "drum skin" duraplasty technique after foramen magnum decompression for Chiari malformations.
机构信息
Neurosurgery Department, ASST Cremona, Viale Concordia 1, 26100, Cremona, Italy.
Department of Neurosurgery, IRCCS Istituto Delle Scienze Neurologiche Di Bologna, Bologna, Italy.
出版信息
Acta Neurochir (Wien). 2023 Oct;165(10):3045-3050. doi: 10.1007/s00701-023-05576-9. Epub 2023 Apr 15.
BACKGROUND
Chiari malformations are a spectrum of posterior cranial fossa anomalies characterized by herniation of the cerebellar tonsils through the foramen magnum. Surgery is the treatment of choice for selected patients with good postoperative outcomes.
METHODS
We describe foramen magnum decompression (FMD) with dural opening and a "drum skin" duraplasty technique.
CONCLUSIONS
In our experience, FMD with "drum skin" duraplasty is a safe and effective procedure, reducing the risk of CSF leakage and arachnoidal adhesions and yielding better long-term clinical and radiological outcomes than other traditional techniques.
背景
Chiari 畸形是一种后颅窝异常的谱系，其特征是小脑扁桃体通过枕骨大孔疝出。手术是治疗选择合适的患者的首选方法，术后效果良好。
方法
我们描述了硬脑膜开放和“鼓皮”硬脑膜成形术的枕骨大孔减压术（FMD）。
结论
根据我们的经验，FMD 联合“鼓皮”硬脑膜成形术是一种安全有效的手术方法，可降低 CSF 漏和蛛网膜粘连的风险，并产生比其他传统技术更好的长期临床和影像学结果。
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