지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 204 - 209 (6page)
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초록· 키워드
오류제보하기
Temporal hollowing occurs to varying degrees after pterional craniotomy. The most common cause of temporal hollowing is a bony defect of the pterional and temporal regions due to the resection of the sphenoid ridge and temporal squama for adequate exposure without overhang. The augmentation of such bony defects is important in preventing craniofacial deformities and postoperative hollowness. Temporal cranioplasty has been performed using a range of materials, such as acrylics, porous polyethylene, bone cement, titanium, muscle flaps, and prosthetic dermis. These methods are limited by the risk of damage to adjacent tissue and infection, a prolonged preparation phase, the possibility of reabsorption, and cost inefficiency. We have developed a method of temporal augmentation using a calvarial onlay graft as a single-stage neurosurgical reconstructive operation in patients requiring craniotomy. In this report, we describe the surgical details and review our institutional outcomes. The patients were divided into pterional craniotomy and onlay graft groups. Clinical temporal hollowing was assessed using a visual analog scale (VAS). Temporal soft tissue thickness was measured on preoperative and postoperative computed tomography (CT) studies. Both the VAS and CT-based assessments were compared between the groups. Our review indicated that the use of an onlay graft was associated with a lower VAS score and left-right discrepancy in the temporal contour than were observed in patients undergoing pterional craniotomy without an onlay graft.
목차
등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
Choudhry OJ / 2013 / Reconstruction of pterional defects after frontotemporal and orbitozygomatic craniotomy using Medpor Titan implant: cosmetic results in 98 patients / Clin Neurol Neurosurg 115:1716~1720
Matsumoto K / 2001 / Cosmetic and functional reconstruction achieved using a split myofascial bone flap for pterional craniotomy: technical note / J Neurosurg 94:667~670
Rapidis AD / 2006 / The use of temporal polyethylene implant after temporalis myofascial flap transposition: clinical and radiographic results from its use in 21 patients / J Oral Maxillofac Surg 64:12~22
Badie B / 1996 / Cosmetic reconstruction of temporal defect following pterional [corrected] craniotomy / Surg Neurol 45:383~384
Kadri PA / 2004 / The anatomical basis for surgical preservation of temporal muscle / J Neurosurg 100:517~522
Matsumoto K / 2001 / Cosmetic and functional reconstruction achieved using a split myofascial bone flap for pterional craniotomy: technical note / J Neurosurg 94:667~670
Rapidis AD / 2006 / The use of temporal polyethylene implant after temporalis myofascial flap transposition: clinical and radiographic results from its use in 21 patients / J Oral Maxillofac Surg 64:12~22
Badie B / 1996 / Cosmetic reconstruction of temporal defect following pterional [corrected] craniotomy / Surg Neurol 45:383~384
Kadri PA / 2004 / The anatomical basis for surgical preservation of temporal muscle / J Neurosurg 100:517~522
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