Pochon J P
J Pediatr Surg. 1982 Feb;17(1):31-6. doi: 10.1016/s0022-3468(82)80321-7.
Methylmethacrylate (sulfix-6 and palakos) are very useful materials for the closure of skull defects. The age of the patient and the time of operation are of secondary importance. These substances have the lowest complication rate, can be easily handled and produce a cosmetically satisfactory result. Rib transplants have in our hand not been associated with any complications, but they are cosmetically not always satisfactory as palpable spaces between the ribs remain and the postoperative wearing of a protective helmet is advisable. The use of the patient's own piece of skull or the external lamina are less satisfactory because there is always a tendency of absorption. Nevertheless, it should be used as a primary measure. In all the operations, meticulous sterility is mandatory and a sufficiently large and viable flap of scalp and galea must be used. In children with encephaloceles, cerebral spinal fluid fistulae have to be closed completely watertight. This can only be achieved by a multiple layer closure of the soft tissues; fibrin seal has been found to be especially useful in this operation.
甲基丙烯酸甲酯（Sulfix - 6和Palakos）是用于闭合颅骨缺损的非常有用的材料。患者的年龄和手术时间是次要的。这些物质的并发症发生率最低，易于操作，并且能产生美观上令人满意的效果。在我们手中，肋骨移植未出现任何并发症，但在美观上并不总是令人满意，因为肋骨之间会留下可触及的间隙，术后建议佩戴防护头盔。使用患者自身的颅骨片或外板不太令人满意，因为总是存在吸收的倾向。然而，它应作为主要措施使用。在所有手术中，必须严格保持无菌，并且必须使用足够大且存活的头皮和帽状腱膜瓣。对于患有脑膨出的儿童，必须完全严密地闭合脑脊液瘘。这只能通过软组织的多层闭合来实现；已发现纤维蛋白封闭剂在该手术中特别有用。
