33 cases of traumatic skull defect PhaseClinical summary of cranioplasty.docVIP

 PAGE \* MERGEFORMAT 6 33 cases of traumatic skull defect PhaseClinical summary of cranioplasty Traumatic brain injury has become the sick man to death in developed countries, the top causes of disability, with the economic and transport development, China’s incidence of traumatic brain injury and death and disability of patients every year. Dealing with skull fractures and post-patch forming nerve surgery has become the most common surgical procedure. Because traditional craniotomy craniectomy Phase Ⅰ / film, Ⅱ period of artificial cranioplasty angioplasty more complications, suffering large, uneconomical, therefore, our hospital to improve the traditional surgery, since April 2007 ~ 2008 May our hospital 33 patients with traumatic skull defect carried out under the condition in stage Ⅰ surgical treatment of skull defects, while the lines forming cranioplasty treatment, and achieved good results, the following are the collated clinical research data. A clinical data and surgical methods 1.1 General Information 18 male, female 15 cases; aged 2 to 73 years with an average age of 34.1 years; skull defect site: nine cases of frontal, temporal top of the 13 cases, occipital in 2 cases, the amount of temporal top of the 3 cases, Top occipital in 2 cases, bilateral temporal-parietal-occipital four cases or in combination; 25 cases of traffic injury, fall injury in 6 cases, combat injuries in 2 cases. Skull forming materials: autogenous cranial and artificial titanium mesh (in recent years has been less organic material). 1.2 surgical removal of intracranial hematoma conventional craniotomy line, with cerebral contusion or intracerebral bone fragments were embedded in the complete removal of necrotic piece of brain tissue and bone fragments films, to ensure that no active bleeding and postoperative brain edema / swelling is not serious, dura mater or brain Cotton (bio plastic) can be light-covered surface of the brain to prevent brain tissue with titanium mesh