切除头骨术后使用网进行部分头骨重建:一种抗粘性和保护性屏障,可改善美观结果
Jose A Figueroa-Sanchez1, Hector R Martinez1, Mariane Riaño-Espinoza2
1Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, Mexico; Instituto de Neurologia y Neurocirugia, Centro Médico Zambrano Hellion TecSalud, Monterrey, Mexico.
World neurosurgery
|February 25, 2024
概括
在去压缩性脑膜切除术 (DC) 后使用网的新技术显示,它有望预防粘附并改善结果. 这种安全的方法有助于后期的头骨整形,保护肌,提高审美效果.
科学领域:
- 神经外科 神经外科
- 生物材料科学 生物材料科学
- 手术技术手术技术的使用
背景情况:
- 减压性脑膜切除术 (DC) 可能导致诸如粘附和随后的脑膜整形术中的困难等并发症.
- 保护肌,确保清晰的手术平面对于DC后的最佳功能和美学结果至关重要.
研究的目的:
- 描述和评估一种新的,安全的技术,使用网部分覆盖头骨缺陷后立即DC.
- 评估网的抗粘性和保护性质,以防止肌与肌肉之间的粘附.
主要方法:
- 对8名接受DC,随后进行网放置的患者进行了回顾性审查.
- 网被放置在肌和硬膜移植之间,肌肉被在网格上.
- 收集的数据包括人口统计,造术的时间,并发症和功能/美学结果.
主要成果:
- 所有患者均在平均112.5天内接受了造术.
- 只有一个患者经历了部肌肉缩;在骨整形过程中没有发现粘附.
- 随访CT扫描显示没有并发症,所有患者都报告了良好的功能和美学结果.
结论:
- 在直流过程中,网的放置起到了抗粘性屏障的作用,促进了随后的头骨整形.
- 这种技术可以保护肌,增强手术平面,并改善功能和美学结果.
- 网技术是合成抗粘性材料的安全替代品,对未来的研究有希望的有效性.
相关概念视频
01:22Sutures of the Skull
6.7K
The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
6.7K
01:14Cranial Bones: Superior and Posterior View
2.2K
The superior view of the cranium shows the frontal and paired parietal bones.
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
2.2K
01:27Cranial Bones: Lateral View
2.2K
The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
2.2K