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颅底重建。

Reconstruction of the cranial base.

作者信息

Spinelli H M, Persing J A, Walser B

机构信息

Section of Plastic Surgery, Yale University School of Medicine, New Haven, Connecticut, USA.

出版信息

Clin Plast Surg. 1995 Jul;22(3):555-61.

PMID:7554723
Abstract

The cranial base is a complex boundary between intracranial and extracranial anatomic structures. Adequate reconstruction of the basicranium depends on the location, size, and nature of the defect. A reconstructive ladder can be built on a few basic principles: coverage of vital structures, separation of the intra- and extradural spaces, procedural simplicity, and aesthetics. Individual consideration should be given to reconstruction of bone, soft tissue, dura, and cerebrospinal fluid spaces.

摘要

颅底是颅内和颅外解剖结构之间的复杂边界。颅底的充分重建取决于缺损的位置、大小和性质。重建阶梯可以基于一些基本原则构建:重要结构的覆盖、硬膜内和硬膜外间隙的分隔、手术操作的简便性以及美观性。对于骨、软组织、硬脑膜和脑脊液间隙的重建应进行个体化考量。

相似文献

1
Reconstruction of the cranial base.颅底重建。
Clin Plast Surg. 1995 Jul;22(3):555-61.
2
[The importance of dura mater plasty and ensuring cerebrospinal fluid circulation after surgery in the posterior cranial fossa in children].
Cesk Neurol Neurochir. 1987 Nov;50(6):370-9.
3
Soft tissue reconstructive choices for craniofacial reconstruction.颅面重建的软组织重建选择
Clin Plast Surg. 1995 Jul;22(3):543-54.
4
[Surgical treatment of naso-sinus tumors invading the anterior region of the base of the skull. Problems encountered during exploration, and repair of bone and dura mater].[侵犯颅底前部的鼻窦肿瘤的外科治疗。探查过程中遇到的问题以及颅骨和硬脑膜的修复]
Ann Otolaryngol Chir Cervicofac. 1984;101(3):169-75.
5
Problems of reconstruction in neurosurgical patients. (The use of boiled bone in cranioplasty).
Ital Gen Rev Dermatol. 1978 May-Aug;15(2):93-100.
6
Transfacial approaches to the cranial base.
Clin Plast Surg. 1995 Jul;22(3):483-90.
7
[Craniofacial resection with plastic repair of defects in the base of the skull and facial skeleton].
Zh Vopr Neirokhir Im N N Burdenko. 1991 Jul-Aug(4):33-6.
8
Surgical management of anterior cranial base fractures with cerebrospinal fluid fistulae: a single-institution experience.前颅底骨折合并脑脊液漏的手术治疗:单机构经验
Neurosurgery. 2008 Feb;62(2):463-9; discussion 469-71. doi: 10.1227/01.neu.0000316014.97926.82.
9
Reconstruction of the skull base after tumor resection: an overview of methods.肿瘤切除术后颅底重建:方法概述
Neurosurg Focus. 2002 May 15;12(5):e9. doi: 10.3171/foc.2002.12.5.10.
10
Overlapping free bone graft with galea-pericranium in reconstruction of the anterior skull base to prevent CSF leak and sequestrum formation.在重建前颅底时使用帽状腱膜-颅骨膜重叠游离骨移植以预防脑脊液漏和死骨形成。
Acta Neurochir (Wien). 2007 Aug;149(8):771-5; discussion 775. doi: 10.1007/s00701-007-1227-9. Epub 2007 Jun 14.

引用本文的文献

1
Anterior Cranial Base Reconstruction in Complex Craniomaxillofacial Trauma: An Algorithmic Approach and Single-Surgeon's Experience.复杂颅颌面创伤的前颅底重建:一种算法方法及单术者经验
Arch Plast Surg. 2022 Apr 6;49(2):174-183. doi: 10.1055/s-0042-1744406. eCollection 2022 Mar.
2
Locoregional and Microvascular Free Tissue Reconstruction of the Lateral Skull Base.侧颅底的局部区域和微血管游离组织重建
Semin Plast Surg. 2017 Nov;31(4):197-202. doi: 10.1055/s-0037-1606556. Epub 2017 Oct 25.