三维塑型钛网颅骨成形术在颅骨缺损修复中的应用

目的 研究三维塑型钛网颅骨成形术在颅骨缺损修复中的效果.方法 将45例额颞部颅骨缺损患者随机分为观察组(n=29)和对照组(n = 16),观察组采用三维塑形钛网行颅骨成形术,对照组采用二维钛网人工塑形进行颅骨修补.比较2组美容满意度相关指标.结果 术后随访3个月,观察组颅骨修补侧和健侧头型对称29例,颞肌塌陷1例;对...

Application of cranioplasty with three-dimensional plastic titanium mesh in the repair of skull defects

Objective To study the effect of cranioplasty with three-dimensional plastic titanium mesh in the repair of skull defects.Methods A total of 45 patients with frontotemporal skull defects were randomly divided into observation group(n=29)and control group(n=16).The observation group was treated with three-dimensional plastic titanium mesh for cranioplasty,while the control group was treated with two-dimensional titanium mesh artificial shaping for skull repair.Beauty satisfaction related indicators in the two groups were compared.Results At three months of follow-up after surgical treatment,there were 29 cases of symmetrical cephalic patterns on the cranial repair side and the undamaged side as well as 1 case of temporalis muscle collapse in the observation group.There were 12 cases of symmetrical cephalic patterns on the cranial repair side and the undamaged side,4 cases of temporalis muscle collapse,6 cases of scalp infection,5 cases of line junction exposure,3 cases of titanium mesh upturned or exposed,and 3 cases of subcutaneous hydrops in the control group.There were statistically significant differences between the two groups in terms of beauty satisfaction and the number of patients with common complications(P<0.05).Conclusion The incidence of common complications of cranioplasty with three-dimensional plastic titanium mesh is low,and the aesthetic satisfaction of the patients is high.