Fukuyama Sotatsu, Okochi Masayuki, Komuro Yuzo, Kawaguchi Ai, Onoda Keisuke
Department of Plastic Surgery, Teikyo University, Tokyo, Japan.
J Plast Reconstr Surg. 2022 May 21;1(2):66-70. doi: 10.53045/jprs.2021-0017. eCollection 2022 Jul 27.
An 8-year-old girl suffered a penetrating trauma when a house key was stuck in her forehead. The CT scan showed the key-penetrated scalp and the brain. The bone around the key was scraped and the key was removed, but no reconstruction was performed at the time to avoid any infection. After 8 months, we performed the reconstruction. A full-thickness bone of the same size as that of the defect was collected and split into two tables. The outer table was used for the correction of the defect, whereas the inner table was restored to the original site. There were no complications, and no step was touched through the surface. An autologous skull bone is useful as a reconstruction material when a patient is a child and a skull has sufficient thickness to divide it into two tables. It can be regarded as a useful method for cranial reconstruction in children.
一名8岁女孩被一把家门钥匙刺入前额，遭受了穿透性创伤。CT扫描显示钥匙穿透了头皮和大脑。钥匙周围的骨头被刮除，钥匙被取出，但当时未进行重建以避免任何感染。8个月后，我们进行了重建。采集了一块与缺损大小相同的全层颅骨，并将其劈成两层骨板。外层骨板用于修复缺损，而内层骨板放回原位。未出现并发症，表面也未触及台阶。当患者为儿童且颅骨有足够厚度可劈成两层骨板时，自体颅骨作为重建材料很有用。它可被视为儿童颅骨重建的一种有效方法。
