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首页> 外文期刊>Child's nervous system: ChNS : official journal of the International Society for Pediatric Neurosurgery >A novel method for safe and accurate placement of the rocker pins of head immobilization devices utilizing a digital caliber phantom: technical note
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A novel method for safe and accurate placement of the rocker pins of head immobilization devices utilizing a digital caliber phantom: technical note

机译：一种新的方法，可利用数字口径幻影安全和准确放置头部固定装置的摇杆销：技术说明

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摘要

Background Immobilization of the head and skull by head immobilization devices (HIDs) is a common practice in neurosurgery. A variety of complications and morbidities are associated with pinning the skull during application of HIDs. Objective Our aim is to describe a new technique that avoids repeated puncturing of the head and skull during application of HIDs and hence avoiding the potential complications resulting from multiple re-adjustments. Methods We used a pre-adjusted digital millimetric caliber (DMC) as a phantom for the two rocker pins of the HID to mimic and simulate the process of skull pinning. Localization and preparation of the accurate skull pinning sites are safely guided by the pinning phantom. Results The technique was applied in different neurosurgical approaches. The pinning phantom was utilized to accurately locate the suitable pinning sites. Contrary to the common practice, there was no need for repeated head and skull puncturing. Minimal manipulations of the head and neck are exerted in this approach as compared with the usual techniques. The head of the patient is allowed to be kept safe on the operating table until the final one-time confident skull pinning by the sterilized skull clamp pins. Conclusion The process of scalp and skull pinning of HIDs is technically demanding. The DMC utilized as a pinning phantom is a useful technique which provides safe and confident application of the skull rocker pins of HIDs allowing the neurosurgeon to avoid multiple puncturing of scalp and skull and minimizing manipulations of the head and cervical spine.
机译：通过头固定装置（HIDS）的头部和头骨的背景固定是神经外科的常见实践。在施用Hids期间，各种并发症和病态与钉钉钉扎头骨有关。目的我们的目的是描述一种新的技术，避免在施用HID期间重复刺穿头部和头骨，从而避免由多次重新调整产生的潜在并发症。方法采用预先调整的数字毫米口径（DMC）作为隐藏的两个摇杆的幻影，以模拟和模拟颅钉钉的过程。精确的颅骨钉扎位点的本地化和准备被钉扎幻影安全地引导。结果该技术以不同的神经外科方法应用。利用钉扎幻影来精确定位合适的钉扎位点。与常见做法相反，不需要重复的头部和头骨刺破。与通常的技术相比，这种方法施加头部和颈部的最小操纵。允许患者的头部在操作台上保持安全，直到通过消毒的头骨夹销的最终一次性自信的颅骨钉钉。结论HIDS的头皮和头骨钉扎的过程在技术上要求如此。用作钉扎幻影的DMC是一种有用的技术，它提供了一种安全且自信地应用HID的颅骨摇杆，允许神经外部避免对头皮和头骨的多次穿刺，并最大限度地减少头部和颈椎的操纵。

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