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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Han, Dae Hee (Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine) Park, Myong Chul (Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine) Park, Dong Ha (Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine) Song, Hyunsuk (Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine) Lee, Il Jae (Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제40권 제6호
발행연도
2013.1
수록면
735 - 741 (7page)

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Background The prosthetic dura is an essential element in the protection of the cranial parenchyma and prevention of cerebrospinal fluid leakage. Although prosthetic dura are widely used in neurosurgery, they occasionally provoke infection, which can be a major concern after neurosurgical treatment. However, removal of the prosthetic dura carries a risk of brain parenchyma injury and cerebrospinal fluid leakage. The salvage of infected prosthetic dural material has not been adequately addressed in the literature. In this study, we demonstrate the value of the combination of a meticulous surgical debridement of necrotic tissue and simultaneous muscle free flap for intractable postoperative epidural abscess without removal of the infected prosthetic dura. Methods Between 2010 and 2012, we reviewed the data of 11 patients with persistent infection on the prosthetic dura. The epidural infections each occurred after a neurosurgical procedure, and there was soft tissue necrosis with the disclosure of the underlying prosthetic dura and dead bone around the scalp wound. To salvage the infected prosthetic dura, meticulous debridement and a muscle free flap were performed. Results All 11 patients experienced complete recovery from the complicated wound problem without the need for further surgical intervention. No signs of prosthetic dural infection were observed during the mean follow-up period of 11 months. Conclusions The combination of a meticulous surgical debridement and coverage with a muscle free flap is an effective treatment for salvage of infected prosthetic dura.
#Free tissue flaps #Epidural abscess #Salvage therapy #Prosthesis-related infections

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참고문헌 (25)

참고문헌 신청
West CA / 2006 / Reconstruction of skull base and dura using rectus abdominis muscle combined with a vascularised fascial perforator flap / J Plast Reconstr Aesthet Surg 59:631~635 google schola Anson JA / 1996 / Bovine pericardium for dural grafts: clinical results in 35 patients / Neurosurgery 39:764~768 google schola Chung C / 2010 / Muscle-flap salvage of prosthetic dural repair / J Plast Reconstr Aesthet Surg 63:213~217 google schola Weber SM / 2005 / Radial forearm free tissue transfer in the management of persistent cerebrospinal fluid leaks / Laryngoscope 115:968~972 google schola Lutz BS / 1998 / Reconstruction of scalp defects with free flaps in 30 cases / Br J Plast Surg 51:186~190 google schola

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