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中华脑科疾病与康复杂志(电子版) ›› 2022, Vol. 12 ›› Issue (04) : 249 -252. doi: 10.3877/cma.j.issn.2095-123X.2022.04.011

综述

儿童颅骨成形术理念及技术进展
杨行建1, 王守森1,(), 孙炜2   
  1. 1. 350025 福州,解放军联勤保障部队第九〇〇医院神经外科
    2. 100068 北京,首都医科大学中国康复研究中心附属北京博爱医院神经外科
  • 收稿日期:2022-01-29 出版日期:2022-08-15
  • 通信作者: 王守森
  • 基金资助:
    2019年福建省科技创新联合资金项目(2019Y9045)

Concept and technical progress of presidential cranioplasty in children

Xingjian Yang1, Shousen Wang1,(), Wei Sun2   

  1. 1. Department of Neurosurgery, the 900 Hospital of Joint Logistics Team, Fuzhou 350025, China
    2. Department of Neurosurgery, Beijing Boai Hospital, China Rehabilitation Research Centre, College of Rehabilitation, Capital Medical University, Beijing 100068, China
  • Received:2022-01-29 Published:2022-08-15
  • Corresponding author: Shousen Wang
引用本文:

杨行建, 王守森, 孙炜. 儿童颅骨成形术理念及技术进展[J]. 中华脑科疾病与康复杂志(电子版), 2022, 12(04): 249-252.

Xingjian Yang, Shousen Wang, Wei Sun. Concept and technical progress of presidential cranioplasty in children[J]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2022, 12(04): 249-252.

颅骨成形术的目的是重建颅骨的完整性,恢复颅面外观、脑脊液动力学和脑血流。儿童颅骨因其生长发育的特殊性,颅骨缺损成形术的时机、修补材料等尚缺乏统一的标准。本文主要围绕儿童颅骨发育的过程和特点、颅骨缺损对儿童的影响、修补手术的年龄和时机、修补材料的选择和固定方法、术后并发症等方面的研究进展予以综述。

The purpose of cranioplasty is to rebuild the integrity of the skull; restore the patient’s craniofacial appearance; and restore cerebrospinal fluid dynamics and cerebral blood flow. There is still a lack of unified standards for the timing and repair materials of cranial defect angioplasty due to the particularity of the growth and development of children’s skulls. This artical mainly reviews the research progress of the process and characteristics of children’s skull development, the impact of skull defects on children, the age and timing of repair operations, the selection of repair materials, fixation methods, and postoperative complications.

[1]
陈拓宇,张玉琪,薛超强,等.仿生材料修补儿童颅骨缺损的术后并发症探究[J].中华小儿外科杂志, 2020, 41(7): 607-612.
[2]
李辉,宗心南,张亚钦.中国七岁以下儿童体重、身长/身高和头围的生长标准值及标准化生长曲线[J].中华儿科杂志, 2009, 29(3): 173-178.
[3]
Frassanito P, Bianchi F, Pennisi G, et al. The growth of the neurocranium: literature review and implications in cranial repair[J]. Childs Nerv Syst, 2019, 35(9): 1459-1465.
[4]
Coelho F, Oliveira AM, Paiva WS, et al. Comprehensive cognitive and cerebral hemodynamic evaluation after cranioplasty[J]. Neuropsychiatr Dis Treat, 2014, 10: 695-701.
[5]
郑栋栋,司马林源,陈珍珍,等.儿童颅骨缺损修补的临床特点和治疗[J].医学研究杂志, 2018, 47(12): 99-102.
[6]
Weickenmeier J, Fischer C, Carter D, et al. Dimensional, geometrical, and physical constraints in skull growth[J]. Phys Rev Lett, 2017, 118(24): 248101.
[7]
中华神经外科学会神经创伤专业组,中华创伤学会神经损伤专业组,中国神经外科医师协会神经创伤专家委员会.创伤性颅骨缺损成形术中国专家共识[J].中华神经外科杂志, 2016, 32(8): 767-770.
[8]
Honeybul S. Complications of decompressive craniectomy for head injury[J]. J Clin Neurosci, 2010, 17(4): 430-435.
[9]
苗宁,张春阳.儿童颅骨缺损修复的研究进展[J].广东医学, 2019, 40(9): 1345-1348.
[10]
侯海东,张春阳,刘明. 0~6岁小儿颅骨生长特点与同期颅骨缺损修补可行性研究[J].中华神经外科杂志, 2013, 29(3): 286-288.
[11]
Bonfield CM, Naran S, Adetayo OA, et al. Pediatric skull fractures: the need for surgical intervention, characteristics, complications, and outcomes[J]. J Neurosurg Pediatr, 2014, 14(2): 205-211.
[12]
Rocque BG, Amancherla K, Lew SM, et al. Outcomes of cranioplasty following decompressive craniectomy in the pediatric population[J]. J Neurosurg Pediatr, 2013, 12(2): 120-125.
[13]
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[J].中华神经外科杂志, 2009, 25(2): 100-101.
[14]
Behbahani M, Rosenberg DM, Rosinski CL, et al. Cranioplasty in infants less than 24 months of age: a retrospective case review of pitfalls, outcomes, and complications[J]. World Neurosurg, 2019, 132: e479-e486.
[15]
Friede H. Normal development and growth of the human neurocranium and cranial base[J]. Scand J Plast Reconstr Surg, 1981, 15(3): 163-169.
[16]
Noggle CA, Pierson EE. The path ahead: future trends in the assessment and treatment of TBI in the pediatric population[J]. Appl Neuropsychol, 2010, 17(2): 123-124.
[17]
侯晓峰,张春阳,赵文忠,等.结合小儿颅骨生长规律及猪颅骨缺损修补实验探讨小儿颅骨缺损手术时机[J].中国医刊, 2013, 48(5): 76-78.
[18]
姚振吉,孟兆华,钟巍.少年儿童外伤性颅骨缺损自愈8例分析[J].吉林医学, 2001, 21(4): 247.
[19]
Farkas LG, Posnick JC, Hreczko TM. Anthropometric growth study of the head[J]. Cleft Palate Craniofac, 1992, 29(4): 303-308.
[20]
Feroze AH, Walmsley GG, Choudhri O, et al. Evolution of cranioplasty techniques in neurosurgery: historical review, pediatric considerations, and current trends[J]. J Neurosurg, 2015, 123(4): 1098-1107.
[21]
周佳林,侯晓峰,张春阳.小儿颅骨缺损修补材料的研究进展[J].中国医学工程, 2020, 28(4): 32-36.
[22]
张肖建.颅骨缺损修补材料的研究:不同类别及修补技术应用进展[J].中国组织工程研究, 2014, 18(39): 6364-6368.
[23]
Shah AM, Jung H, Skirboll S. Materials used in cranioplasty: a history and analysis[J]. Neurosurg Focus, 2014, 36(4): E19.
[24]
Sheng H, Shen F, Zhang N, et al. Titanium mesh cranioplasty in pediatric patients after decompressive craniectomy: appropriate timing for pre-schoolers and early school age children[J]. J Craniomaxillofac Surg, 2019, 47(7): 1096-1103.
[25]
吴水华,陈朝晖,范双石,等.个性化聚醚醚酮植入物在儿童颅骨修补术中的临床应用及分析[J].中华神经创伤外科电子杂志, 2021, 7(4): 252-255.
[26]
Fiaschi P, Pavanello M, Imperato A, et al. Surgical results of cranioplasty with a polymethylmethacrylate customized cranial implant in pediatric patients: a single-center experience[J]. J Neurosurg Pediatr, 2016, 17(6): 705-710.
[27]
张晓璐,杨扬,文平,等.钛网修补材料对幼羊颅骨生长发育的影响研究[J].中华神经外科杂志, 2020, 36(12): 1273-1279.
[28]
Li Z, Park B, Liu W, et al. A statistical skull geometry model for children 0-3 years old[J]. PloS One, 2015, 10(5): e127322.
[29]
Rocque BG, Agee BS, Thompson EM, et al. Complications following pediatric cranioplasty after decompressive craniectomy: a multicenter retrospective study[J]. J Neurosurg Pediatr, 2018, 22(3): 225-232.
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