Cranioplasty: Cosmetic or therapeutic?

被引:185
作者
Dujovny, M [1 ]
Aviles, A [1 ]
Agner, C [1 ]
Fernandez, P [1 ]
Charbel, FT [1 ]
机构
[1] UNIV ILLINOIS,DEPT NEUROSURG,CHICAGO,IL
来源
SURGICAL NEUROLOGY | 1997年 / 47卷 / 03期
关键词
cranioplasty; infection; trauma; tumor; syndrome of the trephined;
D O I
10.1016/S0090-3019(96)00013-4
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Cranioplasty is among the oldest surgical procedures. Trauma, infections, tumors and compression caused by brain edema are some of the reasons for the removal of bone. The indications for cranioplasty after resolution of the primary process that led to the bone defect were never well defined, and many were the ''cosmetic'' indications for cranioplasty. However, there are many theories suggesting that an underlying physiological alteration may occur which may require the correction of the bone defect; many patients improve after surgery. We discuss the physiopathological basis of the ''syndrome of the trephined'' and try to achieve a better understanding of the present status of cranioplasty and its possible therapeutic role. (C) 1997 by Elsevier Science Inc.
引用
收藏
页码:238 / 241
页数:4
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