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In Situ Hinge Craniectomy

机译：原位铰链颅骨切除术

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摘要

OBJECTIVE: To describe an optional method for performing decompressive craniectomy using in situ hinge craniectomy technique in patients with traumatic brain injury and stroke. METHODS: Sixteen patients underwent surgery for treatment of presenting pathology followed by the placement of hinge craniectomy.The technique is detailed. RESULTS: Six palienls with traumatic head injury and 10 with stroke underwent treat-menl of their primary pathologies with subsequent hinge craniectomy. Of these palients, more1 than half underwent relaxation of ihe hinge in a minor procedure after recovery. No patient had complications related to this technique and none required further cranial decompression. In patients with inlracranial pressure monitoring, all displayed values in the normal range. CONCLUSION: In this limited study, in situ hinge craniectomy proved useful in the treatme.nl of patients experiencing stroke or traumatic brain injury. This procedure has the potential to eliminalethc additional second incision to explanl the bone flap or the refrigeration storage of the bone flap. Also, the second operation to restore the cranial contour by reimplanling the bone flap or by the crealion of a cranioplasiy with artificial material would nol be necessarv.
机译：目的：描述在颅脑外伤和中风患者中采用原位铰链颅骨切除术进行减压颅骨切除术的可选方法。方法：对16例患者进行手术治疗，以表现为病理，然后进行铰链式颅骨切除术。结果：6例颅脑外伤患者和10例中风患者接受了其主要病理的治疗，随后进行了铰链颅骨切除术。在这些患者中，超过一半的患者在恢复后仅经过较小的手术就放松了铰链。没有患者有与此技术相关的并发症，也没有需要进一步减压的颅骨。在颅内压监测患者中，所有显示值均在正常范围内。结论：在这项有限的研究中，原位铰链颅骨切除术被证明可用于治疗中风或脑外伤的患者。该手术有可能消除额外的第二切口以扩张骨瓣或冷冻骨瓣。而且，通过重新骨瓣或通过人工材料颅骨成形来恢复颅骨轮廓的第二次手术也将是必要的。

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