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创伤前头骨底部缺陷的内镜内修复和重建

Isabelle J M Williams¹, Annakan V Navaratnam¹, Mark Wilson¹

¹Department of Otolaryngology, Imperial College Healthcare NHS Trust, London, UK.

Case reports in otolaryngology

|October 16, 2023

概括

在头骨骨折后的脑脊液 (CSF) 泄漏可以使用内镜内腔方法 (EEA) 有效地修复. 这种微创手术在复杂的创伤性头骨底部损伤中具有很高的成功率.

科学领域:

神经外科神经外科
耳鼻喉科耳鼻喉科耳鼻喉科
创伤外科手术创伤外科

背景情况:

大脑脊髓液 (CSF) 泄漏是创伤性基底骨头骨折的常见并发症,在12-13%的病例中发生.
内镜内治疗方法 (EEA) 是一种非常成功的手术方法来修复CSF泄漏,成功率超过90%.

研究的目的:

在多次面部受伤和骨头骨基骨折后,报告一个延迟脑脊液泄漏的病例.
为了突出内镜内膜修复复杂的创伤性头骨底部缺陷的疗效.

主要方法:

一名37岁的男性患者,面部多次受伤,前额头骨底部骨折,出现延迟鼻.
最初的保守管理之后,使用多层技术进行了内镜内内膜修复:脂肪,张力筋膜,自由粘膜移植和血管化的局部.

主要成果:

内镜内的方法允许仔细剖析和彻底检查头骨底部.
一种多层重建技术成功修复了复杂的头骨底部缺陷.

结论:

在创伤性头骨底部损伤中,延迟的CSF泄漏需要高度的怀疑指数.
内镜内腔方法是修复复杂的脑脊髓泄漏的有价值和有效的方法,有助于详细的重建.

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