Immediate titanium mesh cranioplasty for treatment of postcraniotomy infections.
Immediate titanium mesh cranioplasty for treatment of postcraniotomy infections.
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DOI：
10.1016/j.wneu.2011.02.013
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发表时间：
2013-01
影响因子：
2
通讯作者：
Park JK
中科院分区：
文献类型：
--
作者：
Wind JJ;Ohaegbulam C;Iwamoto FM;Black PM;Park JK
开颅手术后感染的治疗通常是清创感染组织，处理骨瓣，并在几个月后延迟颅骨成形术以修复由此产生的颅骨缺损。清创后保留骨瓣也被提倡。在这里，我们提出了一种治疗开颅术后感染的替代手术策略。2例患者出现开颅后感染的临床和影像学体征和症状，采用清创、骨瓣处理和立即钛网颅骨成形术治疗。随后给予患者抗生素并跟踪其临床病程。以这种方式治疗的患者在三年随访期间没有感染复发。手术清创，骨瓣处理和立即钛网颅骨成形术可能是治疗开颅后感染的合适选择。这种治疗策略有助于根除传染源，并避免了与第二次外科手术相关的风险和费用。
Post craniotomy infections have generally been treated by debridement of infected tissues, disposal of the bone flap, and delayed cranioplasty several months later to repair the resulting skull defect. Debridement followed by retention of the bone flap has also been advocated. Here we propose an alternative operative strategy for the treatment of post craniotomy infections. Two patients presenting with clinical and radiographic signs and symptoms of post craniotomy infections were treated by debridement, bone flap disposal, and immediate titanium mesh cranioplasty. The patients were subsequently administered antibiotics and their clinical courses were followed. The patients treated in this fashion did not have recurrence of their infections during three-year follow-up periods. Surgical debridement, bone flap disposal and immediate titanium mesh cranioplasty may be a suitable option for the treatment of post craniotomy infections. This treatment strategy facilitates the eradication of infectious sources and obviates the risks and costs associated with a second surgical procedure.
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影响因子：
4.1
作者：
Chang, SM;Parney, IF;Berger, M
通讯作者：
Berger, M
影响因子：
5
作者：
Idali, B;Lahyat, B;Barrou, L
通讯作者：
Barrou, L
影响因子：
3.7
作者：
Robinson, Yohan;Tschoeke, Sven Kevin;Heyde, Christoph E.
通讯作者：
Heyde, Christoph E.
影响因子：
2.4
作者：
Matsuno, A;Tanaka, H;Nagashima, T
通讯作者：
Nagashima, T
DOI：
10.1016/0007-1226(90)90115-g
发表时间：
1990-09-01
期刊：
BRITISH JOURNAL OF PLASTIC SURGERY
影响因子：
--
作者：
BLAKE, GB;MACFARLANE, MR;HINTON, JW
通讯作者：
HINTON, JW