Cranioplasty for repair of a large bone defect in a growing skull fracture in children

被引:24
作者
Vignes, Jean-Rodolphe
Jeelani, N. u Owase
Dautheribes, Michel
San-Galli, Francois
Liguoro, Dominique
机构
[1] Univ Bordeaux 2, CHU Bordeaux, Dept Neurosurg, F-33076 Bordeaux, France
[2] UCL, NHNN, Dept Neurosurg, London, England
关键词
skull fracture; cranioplasty; craniocerebral trauma; vacuum extraction; titanium;
D O I
10.1016/j.jcms.2007.04.002
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Introduction: In infants, calvarial defects are generally repaired with autologous grafts. However, with large defects, these techniques can be associated with complications such as bone graft resorption, loss of blood, or local infection. Alternative materials are available for cranioplasty including metals or acrylic. Case report: We report the case of a 3.2kg boy who had a traumatic vaginal delivery and developed a growing skull fracture resulting in a large cranial defect (50 em 2). We describe a specific technique of cranioplasty by interposing a titanium plate between the duroplasty and bone elements, without fixation, with autologous bone fragments deposited over the mesh. Long-term follow-up was satisfactory. Conclusion: For large skull defects in infants, the technique described affords protection to the intracranial components, induces osteogenesis in a growing cranial skeleton, and provides satisfactory aesthetic results. (c) 2007 European Association for Cranio-Maxillofacial Surgery.
引用
收藏
页码:185 / 188
页数:4
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