| 颅底缺损的修复 |
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| 引用本文： | 刘海生,张秋航,杨占泉. 颅底缺损的修复[J]. 临床耳鼻咽喉头颈外科杂志, 2004, 18(12): 755-757 |
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| 作者姓名： | 刘海生 张秋航 杨占泉 |
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| 作者单位： | 首都医科大学宣武医院耳鼻咽喉-头颈外科,北京,100053;吉林大学中日联谊医院耳鼻咽喉-头颈外科 |
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| 基金项目： | 2 0 0 3年全国博士后科学基金资助项目 (No :2 0 0 30 34183) |
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| 摘 要： | 目的：探讨颅底缺损的修复技术。方法：回顾性研究30例颅底缺损修复者的临床资料。颅底骨质缺损修补术20例，其中钛网修补12例，自体髂骨修补2例，裂层额骨修补2例，单纯颅骨外膜修补4例；硬脑膜缺损修补6例，其中带蒂颅骨外膜修补3例，带蒂颞肌筋膜修补2例，游离颞肌筋膜修补1例；颞下窝软组织缺损修补8例，其中带蒂颞肌修复颞下窝5例，带蒂颞肌及胸锁乳突肌联合修复颞下窝3例。结果：术后短暂性脑脊液鼻漏3例，无症状性颅内积气3例，少量硬脑膜外血肿及脑膜炎各1例。结论：颅底手术中采用适宜的外科技术和修复材料进行一期颅底修补，对于减少术后感染、脑脊液鼻漏等并发症有重要意义。
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| 关 键 词： | 颅底缺损 钛网 修补术 |
| 文章编号： | 1001-1781(2004)12-0755-03 |
| 修稿时间： | 2004-04-22 |
Skull base reconstruction and rehabilitation |
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| LIU Haisheng ZHANG Qiuhang YANG Zhanquan. Skull base reconstruction and rehabilitation[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2004, 18(12): 755-757 |
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| Authors: | LIU Haisheng ZHANG Qiuhang YANG Zhanquan |
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| Affiliation: | Department of Otolaryngology-Head and Neck Surgery,Xuanwu Hospital of Capital University of Medical Science, Beijing, 100053, China. |
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| Abstract: | Objective:To review our experience with skull base reconstruction and rehabilitation.Method:The clinical data of 30 patients with skull base reconstruction from 200 patients performed skull base surgery were retrospectively reviewed. Bone defect of skull base were repaired in 20 patients and dura defect in 6 patients and soft tissue defect in infratemporal fossa in 8 patients.Result:Postoperatively there were transient cerebrospinal leakage in 3 patients, and non-symptom intracranial pneumatosis in 3 patients, and epidural hematoma in 1 patient, and meningitis in 1 patients.Conclusion:Immediate reconstruction of skull base with suitable material and surgical technique can prevente complications such as postoperative infection and cerebrospinal leakage brain hernation. |
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| Keywords: | Skull base defect Titanium mesh Revision |
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