EFFCTIVENESS OF DIGITAL THREE-DIMENSIONAL TITANIUM MESH IN REPAIRING SKULL DEFECT UNDER TEMPORALIS AND RECONSTRUCTING TEMPORAL MUSCLE ATTACHMENT POINTS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

 FENGJiafeng , YANGCheng , CUIWei

Department of Neurosurgery, Chengfei Hospital, Chengdu Sichuan, 610091, P. R. China;

Corresponding author：

FENGJiafeng, Email: hbyfjfcd010726@163.com

Keywords：

Skull defect; Digital three-dimensional titanium mesh; Skull repairing under temporalis; Reconstruction of temporal muscle attachment point

DOI：

10.7507/1002-1892.20140133

Video：

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Objective To investigate the technique and the effectiveness of digital three-dimensional (3-D) titanium mesh in repairing skull defect under the temporalis and reconstructing temporal muscle attachment points. Methods Between January 2009 and December 2012, 58 patients with skull defect after decompressive craniectomy at the frontal temporal region were treated. Of 58 patients, 33 were male and 25 were female, aged 17-62 years (mean, 36.2 years). The disease duration was 15 weeks to 25 months (mean, 5.8 months). The size of skull defect ranged from 8 cm×6 cm to 15 cm×12 cm. The patients underwent skull impairment patch surgery with digital 3-D titanium mesh and reconstruction of the temporal muscle attachment points at titanium mesh temporal corresponding position. Results The operation time was 60-100 minutes (mean, 87 minutes). After operation, 2 cases had slight red swelling with little exudation at skin incision margin, which was cured after symptomatic treatment; 2 cases had symptom of headache, which disappeared after incision healing; primary healing of incision was obtained in the other patients. Fifty-eight patients were followed up 6-24 months (mean, 16 months). The patients were satisfied with shaping, and had no chewing pain. Head CT after operation showed good fixation of titanium mesh and titanium nail, and satisfactory skull shape symmetry; no postoperative complication of subcutaneous effusion, intracranial bleeding, titanium mesh loosening, or titanium mesh exposure occurred. Conclusion The surgery technique of digital 3-D titanium mesh to repair skull defect in frontal temporal region and to reconstruct temporal muscle attachment points at the corresponding position of titanium mesh, basically can obtain anatomical reduction of the skull, frontal temporal, and each layer of scalp. It has the advantages of less complication, less titanium nail, and satisfactory shape.

Citation： FENGJiafeng, YANGCheng, CUIWei. EFFCTIVENESS OF DIGITAL THREE-DIMENSIONAL TITANIUM MESH IN REPAIRING SKULL DEFECT UNDER TEMPORALIS AND RECONSTRUCTING TEMPORAL MUSCLE ATTACHMENT POINTS. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(5): 597-600. doi: 10.7507/1002-1892.20140133 Copy

1.	濮春华, 胡锦清, 赵卫国, 等. 钛合金网在颅骨成形术中的应用. 中国修复重建外科杂志, 2002, 16(6):443.
2.	黄志伟, 何绍伟, 戴先前, 等. 一次性负压吸引器在颅骨修补术中的应用. 中国临床神经外科杂志, 2008, 13(11):700.
3.	江基尧. 介绍一种美国临床常用的标准外伤大骨瓣开颅术. 中华神经外科杂志, 1998, 14(6):381.
4.	马廉亭, 徐国政, 秦尚振. 实用神经外科手册. 2版. 北京:科学出版社, 2009:327.
5.	中国医师协会神经外科医师分会中国神经创伤专家委员会. 中国颅脑创伤外科手术指南. 中华神经外科杂志, 2009, 25(2):100-101.
6.	丁振荣, 刘汉华, 杨华, 等. 三维钛网修补颅骨缺损并发症的原因探讨. 中国临床神经外科杂志, 2011, 16(2):87-88.
7.	白如玉, 刘福军, 刘广宇, 等. 几种颅骨修补材料的性能比较. 中国组织工程研究与临床康复, 2008, 12(23):4485-4488.
8.	季庆, 李增惠. 颅骨缺损修补材料的研究进展. 天津医药, 2007, 35(2):156-158.
9.	王洪亮, 谢永胜, 尚景瑞, 等. 骨水泥修补颅骨缺损108例报告. 武警医学院学报, 2003, 12(5):357-358.
10.	Sultan SM, Davidson EH, Butala P, et al. Interval cranioplasty:comparison of current standards. Plast Reconstr Surg, 2011, 127(5):1855-1864.
11.	付双林, 陈儇, 王海峰, 等. 钛网数字化多点成形技术在颅骨缺损修补中的应用. 吉林大学学报:医学版, 2006, 32(1):119-121, 159.
12.	李晋江, 梁勇, 赵明光, 等. 生物材料修复组织工程颅骨缺损及其性能评价. 中国组织工程研究与临床康复, 2010, 14(8):1442-1446.
13.	岑波, 胡飞, 王建一, 等. 运用数字化钛网修补额颞大面积颅骨缺损. 中国临床神经外科杂志, 2009, 14(3):168-169.
14.	李乾锋, 徐海涛, 王龙, 等. 数字化三维成型钛网在颅骨缺损修补中的应用体会. 中国临床神经外科杂志, 2011, 16(10):625-626.
15.	王永, 赵亚群, 周敬安, 等. 计算机辅助设计的颅骨成形术治疗颞部颅骨缺损. 中国临床神经外科杂志, 2009, 14(5):275-276.
16.	成文平, 任瑞明, 朱金钊, 等. 个性化电脑塑型钛网早期修补额颞顶颅骨缺损. 中国临床神经外科杂志, 2011, 16(12):742-744.
17.	孙鸿, 游潮, 张跃康, 等. 颅骨成形术137例临床分析. 中华创伤杂志, 2006, 22(10):731-733.
18.	张志福, 徐国政, 杜浩, 等. 颞肌下钛网修补额颞部颅骨缺损50例. 中国临床神经外科杂志, 2011, 16(4):234-235.
19.	焦迎斌, 窦以河, 闫志勇, 等. 颅骨缺损自体骨修补技术的改进. 中国临床神经外科杂志, 2009, 14(12):771-772.

1. 濮春华, 胡锦清, 赵卫国, 等. 钛合金网在颅骨成形术中的应用. 中国修复重建外科杂志, 2002, 16(6):443.
2. 黄志伟, 何绍伟, 戴先前, 等. 一次性负压吸引器在颅骨修补术中的应用. 中国临床神经外科杂志, 2008, 13(11):700.
3. 江基尧. 介绍一种美国临床常用的标准外伤大骨瓣开颅术. 中华神经外科杂志, 1998, 14(6):381.
4. 马廉亭, 徐国政, 秦尚振. 实用神经外科手册. 2版. 北京:科学出版社, 2009:327.
5. 中国医师协会神经外科医师分会中国神经创伤专家委员会. 中国颅脑创伤外科手术指南. 中华神经外科杂志, 2009, 25(2):100-101.
6. 丁振荣, 刘汉华, 杨华, 等. 三维钛网修补颅骨缺损并发症的原因探讨. 中国临床神经外科杂志, 2011, 16(2):87-88.
7. 白如玉, 刘福军, 刘广宇, 等. 几种颅骨修补材料的性能比较. 中国组织工程研究与临床康复, 2008, 12(23):4485-4488.
8. 季庆, 李增惠. 颅骨缺损修补材料的研究进展. 天津医药, 2007, 35(2):156-158.
9. 王洪亮, 谢永胜, 尚景瑞, 等. 骨水泥修补颅骨缺损108例报告. 武警医学院学报, 2003, 12(5):357-358.
10. Sultan SM, Davidson EH, Butala P, et al. Interval cranioplasty:comparison of current standards. Plast Reconstr Surg, 2011, 127(5):1855-1864.
11. 付双林, 陈儇, 王海峰, 等. 钛网数字化多点成形技术在颅骨缺损修补中的应用. 吉林大学学报:医学版, 2006, 32(1):119-121, 159.
12. 李晋江, 梁勇, 赵明光, 等. 生物材料修复组织工程颅骨缺损及其性能评价. 中国组织工程研究与临床康复, 2010, 14(8):1442-1446.
13. 岑波, 胡飞, 王建一, 等. 运用数字化钛网修补额颞大面积颅骨缺损. 中国临床神经外科杂志, 2009, 14(3):168-169.
14. 李乾锋, 徐海涛, 王龙, 等. 数字化三维成型钛网在颅骨缺损修补中的应用体会. 中国临床神经外科杂志, 2011, 16(10):625-626.
15. 王永, 赵亚群, 周敬安, 等. 计算机辅助设计的颅骨成形术治疗颞部颅骨缺损. 中国临床神经外科杂志, 2009, 14(5):275-276.
16. 成文平, 任瑞明, 朱金钊, 等. 个性化电脑塑型钛网早期修补额颞顶颅骨缺损. 中国临床神经外科杂志, 2011, 16(12):742-744.
17. 孙鸿, 游潮, 张跃康, 等. 颅骨成形术137例临床分析. 中华创伤杂志, 2006, 22(10):731-733.
18. 张志福, 徐国政, 杜浩, 等. 颞肌下钛网修补额颞部颅骨缺损50例. 中国临床神经外科杂志, 2011, 16(4):234-235.
19. 焦迎斌, 窦以河, 闫志勇, 等. 颅骨缺损自体骨修补技术的改进. 中国临床神经外科杂志, 2009, 14(12):771-772.

Chinese Journal of Reparative and Reconstructive Surgery

EFFCTIVENESS OF DIGITAL THREE-DIMENSIONAL TITANIUM MESH IN REPAIRING SKULL DEFECT UNDER TEMPORALIS AND RECONSTRUCTING TEMPORAL MUSCLE ATTACHMENT POINTS

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