Flap Design for Cranial Reconstruction: An Analysis of Craniectomy and Cranioplasty Incisions.

IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Maxillofacial & Oral Surgery Pub Date : 2024-04-01 Epub Date: 2021-02-24 DOI:10.1007/s12663-021-01526-z

Nanda Kishore Sahoo, Ankur Thakral, Sanjay Kumar, Vishal Kulkarni

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引用次数: 0

Abstract

Background: The surgical approach for cranial reconstruction is influenced by the presence of pre-existing scar tissue. Scars that lie within the vicinity of cranial defect require modification.

Purpose: The present study was conducted to analyse co-relation between craniectomy scar and cranioplasty incision.

Materials and methods: A retrospective evaluation of 70 patients who were divided into three groups based on location of cranioplasty incision line was done. In group I, incision was located parallel and outside the scar; group II, incision was located over the scar; and group III, mixed and criss-cross incision was present. The primary outcome variable of interest was to analyse co-relation between craniectomy and cranioplasty incisions.

Results: There were 45 cases of group I, 15 cases of group II and 10 cases of group III. Thirty-three patients had defect on left side, 26 had on right side, and 10 had bifrontal defect. No significant association was noted between the site and cranioplasty incision (Chi² = 9.155, p = 0.433 and likelihood ratio = 9.487, p = 0.394).

Conclusion: Well-vascularized broad-based scalp flap that provides adequate exposure and located on healthy bone irrespective of pre-existing craniectomy scar forms the mainstay of successful cranial reconstruction.

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颅骨重建的皮瓣设计:颅骨切除术和颅骨成形术切口的分析

背景：颅骨重建的手术方法受到原有疤痕组织的影响。目的：本研究旨在分析颅骨切除术瘢痕与开颅成形术切口之间的相关性：根据开颅手术切口线的位置将 70 名患者分为三组，并进行了回顾性评估。第一组，切口位于疤痕外的平行线上；第二组，切口位于疤痕上方；第三组，混合切口和十字切口。主要结果变量是分析开颅手术和开颅成形术切口之间的相关性：结果：第一组 45 例，第二组 15 例，第三组 10 例。33 例患者左侧颅骨缺损，26 例患者右侧颅骨缺损，10 例患者双额部颅骨缺损。手术部位与开颅手术切口之间无明显关联（Chi2 = 9.155，p = 0.433；似然比 = 9.487，p = 0.394）：结论：无论是否存在颅骨切除术疤痕，血管良好的宽基头皮瓣都是成功重建颅骨的关键，它能提供足够的暴露，并位于健康的骨骼上。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Maxillofacial & Oral Surgery DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

1.90

自引率

0.00%

发文量

138

期刊介绍： This journal offers comprehensive coverage of new techniques, important developments and innovative ideas in Oral and Maxillofacial Surgery. Practice-applicable articles help develop the methods used to handle dentoalveolar surgery, facial injuries and deformities, TMJ disorders, oral cancer, jaw reconstruction, anesthesia and analgesia. The journal also includes specifics on new instruments, diagnostic equipment’s and modern therapeutic drugs and devices. Journal of Oral and Maxillofacial Surgery is recommended for first or priority subscription by the Dental Section of the Medical Library Association. Specific topics covered recently have included: ? distraction osteogenesis ? synthetic bone substitutes ? fibroblast growth factors ? fetal wound healing ? skull base surgery ? computer-assisted surgery ? vascularized bone grafts Benefits to authorsWe also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services.