Dujovny M, Aviles A, Agner C, Fernandez P, Charbel F T
Department of Neurosurgery, University of Illinois at Chicago, USA.
Surg Neurol. 1997 Mar;47(3):238-41. doi: 10.1016/s0090-3019(96)00013-4.
Cranioplasty is among the oldest surgical procedures. Trauma, infections, tumors and compression caused by brain edema are some of the reasons for the removal of bone. The indications for cranioplasty after resolution of the primary process that led to the bone defect were never well defined, and many were the "cosmetic" indications for cranioplasty. However, there are many theories suggesting that an underlying physiological alteration may occur which may require the correction of the bone defect; many patients improve after surgery. We discuss the physiopathological basis of the "syndrome of the trephined" and try to achieve a better understanding of the present status of cranioplasty and its possible therapeutic role.
颅骨修补术是最古老的外科手术之一。创伤、感染、肿瘤以及脑水肿引起的压迫是颅骨切除的一些原因。导致骨缺损的原发病情得到解决后进行颅骨修补术的指征从未得到明确界定，而且颅骨修补术有很多“美容”指征。然而，有许多理论表明可能会发生潜在的生理改变，这可能需要纠正骨缺损；许多患者术后病情有所改善。我们讨论了“颅骨钻孔综合征”的病理生理基础，并试图更好地了解颅骨修补术的现状及其可能的治疗作用。
