Seok Jin Hoo, Roh Hae Won, Kim Jong Hyun
Department of Neurosurgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
J Trauma Inj. 2024 Dec;37(4):304-308. doi: 10.20408/jti.2024.0052. Epub 2024 Dec 16.
Decompressive craniectomy is one of the most common procedures for managing severe traumatic brain injury. Cranioplasty plays a vital role in restoring the integrity of the skull and preventing complications that may arise after a decompressive craniectomy. This case report presents a 24-year-old woman who underwent cranioplasty with a cryopreserved autologous bone flap. Initially successful, the procedure was later complicated by a delayed surgical site infection and methicillin-resistant Staphylococcus aureus osteomyelitis, ultimately resulting in complete resorption of the bone flap. The report discusses the consequences of autologous bone flap resorption and surgical site infection, highlighting the critical need for effective sterilization and proper bone storage techniques. This case emphasizes the necessity of exploring alternative strategies to improve cranioplasty outcomes and minimize the risk of infection.
去骨瓣减压术是治疗重度创伤性脑损伤最常见的手术之一。颅骨修补术在恢复颅骨完整性及预防去骨瓣减压术后可能出现的并发症方面起着至关重要的作用。本病例报告介绍了一名24岁女性，她接受了使用低温保存的自体骨瓣进行颅骨修补术。该手术最初成功，但后来出现了手术部位延迟感染和耐甲氧西林金黄色葡萄球菌骨髓炎的并发症，最终导致骨瓣完全吸收。该报告讨论了自体骨瓣吸收和手术部位感染的后果，强调了有效消毒和适当骨储存技术的迫切需求。本病例强调了探索替代策略以改善颅骨修补术结果并将感染风险降至最低的必要性。
