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针对伴有脑受压的广泛性颅面骨纤维发育不良的两阶段手术策略。

Two-stage surgical strategy for extensive craniofacial fibrous dysplasia with cerebral compression.

作者信息

Pasquini Ludovica, Biswas Chandrima, Zachariah Marcus, Prevedello Daniel M

机构信息

Department of Neurological Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA.

Department of Neurological Surgery, Neurosurgical Medical Clinic, Sharp Memorial Hospital, San Diego, CA, USA.

出版信息

Acta Neurochir (Wien). 2025 Feb 12;167(1):41. doi: 10.1007/s00701-025-06438-2.

Abstract

BACKGROUND

The management of extensive craniofacial fibrous dysplasia requires balancing the extent of resection with the perioperative morbidity and complications.

METHOD

The authors describe a case involving the resection of extensive craniofacial fibrous dysplasia performed in two stages. The first surgery aims on removing most of the lesion and planning for bony reconstruction, while the second stage focuses to complete disease removal and implant a custom-made prosthesis.

CONCLUSION

This case highlights the benefits of a two-stage surgical approach in reducing morbidity compared to a single extensive surgery while achieving excellent disease resection and functional outcomes.

摘要

背景

广泛颅面骨纤维发育不良的治疗需要在切除范围与围手术期发病率及并发症之间取得平衡。

方法

作者描述了一例分两阶段进行广泛颅面骨纤维发育不良切除术的病例。第一阶段手术旨在切除大部分病变并规划骨重建,而第二阶段则着重于彻底清除病灶并植入定制假体。

结论

该病例突出了两阶段手术方法相较于单次广泛手术在降低发病率方面的优势,同时实现了良好的病灶切除和功能效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f42b/11821711/74668ffd091c/701_2025_6438_Fig1_HTML.jpg

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