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使用聚甲基丙烯酸甲酯颅骨假体支架复制自体骨瓣重建创伤后颅骨凹陷

The Reconstruction of Post-traumatic Cranial Bone Depression by Duplicating an Autogenous Bone Flap With a Prosthetic Polymethyl Methacrylate Cranial Stent.

作者信息

Pathak Ankita, Dhamande Mithilesh M, Pisulkar Sweta G, Dubey Surekha A, Bhoyar Anjali, Beri Arushi, Sonar Prasanna R

机构信息

Department of Prosthodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Department of Oral Medicine and Radiology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Jul 25;16(7):e65353. doi: 10.7759/cureus.65353. eCollection 2024 Jul.

DOI:10.7759/cureus.65353
PMID:39184686
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11344634/
Abstract

Cranioplasty is a common surgical procedure used to restore the shape of the calvaria. Autogenous bone flaps provide biological repair with the least morbidity to the donor location. One method for reusing bone autograft during cranioplasty involves low-temperature preservation followed by autoclaving. According to the literature, there was a good to modest improvement in the skull's symmetry, cosmesis, scars, and contour. It was determined that autoclaved frozen autogenous cerebral bone flaps are a safe and reliable method of cranioplasty. Despite its apparent simplicity, cranioplasty has been found to carry a relatively high complication rate, ranging from 12% to 50%, which starkly contrasts with the standard elective craniotomy, with a complication rate typically ranging from 24% to 60%. Complications associated with autogenous bone flap procedures are varied. The presented case report primarily focuses on the duplication of autogenous bone flaps by using clear polymethyl methacrylate.

摘要

颅骨成形术是一种用于恢复颅骨形状的常见外科手术。自体骨瓣能以对供骨部位造成最小发病率的方式提供生物修复。颅骨成形术中一种重复使用自体骨移植的方法是低温保存后再进行高压灭菌。根据文献,颅骨的对称性、美容效果、瘢痕和轮廓有良好到中等程度的改善。已确定经高压灭菌的冷冻自体颅骨瓣是一种安全可靠的颅骨成形术方法。尽管颅骨成形术表面看似简单,但已发现其并发症发生率相对较高,在12%至50%之间,这与标准择期开颅手术形成鲜明对比,后者的并发症发生率通常在24%至60%之间。与自体骨瓣手术相关的并发症多种多样。本病例报告主要关注使用透明聚甲基丙烯酸甲酯复制自体骨瓣的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c5/11344634/fd10b1f2bab8/cureus-0016-00000065353-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c5/11344634/8df70bd0e137/cureus-0016-00000065353-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c5/11344634/cc904ec96921/cureus-0016-00000065353-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c5/11344634/58976f874366/cureus-0016-00000065353-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c5/11344634/c475731a1ae5/cureus-0016-00000065353-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c5/11344634/ef8eba947b28/cureus-0016-00000065353-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c5/11344634/f0b45ee4daf6/cureus-0016-00000065353-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c5/11344634/e324601fa35b/cureus-0016-00000065353-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c5/11344634/507780e24ceb/cureus-0016-00000065353-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c5/11344634/fd10b1f2bab8/cureus-0016-00000065353-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c5/11344634/8df70bd0e137/cureus-0016-00000065353-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c5/11344634/cc904ec96921/cureus-0016-00000065353-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c5/11344634/58976f874366/cureus-0016-00000065353-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c5/11344634/c475731a1ae5/cureus-0016-00000065353-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c5/11344634/ef8eba947b28/cureus-0016-00000065353-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c5/11344634/f0b45ee4daf6/cureus-0016-00000065353-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c5/11344634/e324601fa35b/cureus-0016-00000065353-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c5/11344634/507780e24ceb/cureus-0016-00000065353-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c5/11344634/fd10b1f2bab8/cureus-0016-00000065353-i09.jpg

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本文引用的文献

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2
Revolutionizing Neurosurgery: The Cutting-Edge Era of Digitally Fabricated Cranial Stents.革新神经外科手术:数字制造颅骨支架的前沿时代。
Cureus. 2024 Feb 3;16(2):e53482. doi: 10.7759/cureus.53482. eCollection 2024 Feb.
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Quantitate evaluation of photogrammetry with CT scanning for orbital defect.采用 CT 扫描对眼眶缺损进行摄影测量的定量评估。
Sci Rep. 2024 Feb 7;14(1):3104. doi: 10.1038/s41598-024-53826-2.
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Unveiling the Realm of Denture Fabrication: Revitalizing Aesthetics and Optimizing Efficiency for Geriatric Patients.揭开假牙制作的领域:为老年患者重振美学并优化效率。
Cureus. 2023 Dec 12;15(12):e50392. doi: 10.7759/cureus.50392. eCollection 2023 Dec.
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Revolutionizing Maxillofacial Rehabilitation for Ocular Defects: The Impact of Three-Dimensional Printing and Sublimation Transfer Technique on Changing Horizons.革新眼部缺陷的颌面修复:三维打印和热转印技术对改变现状的影响
Cureus. 2023 Nov 30;15(11):e49706. doi: 10.7759/cureus.49706. eCollection 2023 Nov.
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Autologous Cranioplasty with Bone Flap Preserved in Conventional Freezers: An Adequate Option in Low Resource Settings.常规冷冻保存骨瓣自体颅骨修补术:资源匮乏环境下的一种可行选择。
World Neurosurg. 2024 Feb;182:116-123. doi: 10.1016/j.wneu.2023.11.128. Epub 2023 Nov 30.
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Evaluation of accuracy of photogrammetry with 3D scanning and conventional impression method for craniomaxillofacial defects using a software analysis.基于软件分析的 3D 扫描和传统印模法在颅颌面缺损中的精度评估。
Trials. 2022 Dec 27;23(1):1048. doi: 10.1186/s13063-022-07005-1.
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