Sugawara Y, Harii K, Yamada A, Hirabayashi S, Sakurai A, Sasaki T
Department of Plastic and Reconstructive Surgery, University of Tokyo, Japan.
J Reconstr Microsurg. 1998 Feb;14(2):101-8. doi: 10.1055/s-2007-1000151.
Autogenous calvarial bone grafts have been widely used in craniofacial reconstruction following trauma, congenital anomalies, and head and neck tumors. In cases of late restoration of a collapsed cranial vault, an extradural dead space is occasionally observed which might cause infection and grafted bone absorption. The combined use of a split calvarial bone graft and an omental flap has been an effective technique for treating complicated cranial defects. The omental flap eliminates the extradural dead space between the grafted calvarial bone and the scarred dura, and provides an acceptable vascular bed for grafted bone. The authors report this technique for complex cranioplasties in two cases, with good cosmetic results.
自体颅骨骨移植已广泛应用于创伤、先天性畸形以及头颈部肿瘤后的颅面重建。在颅骨穹窿塌陷的晚期修复病例中，偶尔会观察到硬膜外死腔，这可能会导致感染和移植骨吸收。劈开颅骨骨移植与网膜瓣联合使用一直是治疗复杂颅骨缺损的有效技术。网膜瓣消除了移植颅骨骨与瘢痕化硬脑膜之间的硬膜外死腔，并为移植骨提供了可接受的血管床。作者报告了两例采用该技术进行复杂颅骨成形术的病例，美容效果良好。
