Subcutaneous effusion after digital shaping titanium mesh cranioplasty
10.3969/j.issn.2095-4344.2014.08.025
- VernacularTitle:数字成型钛网颅骨修补后的皮下积液
- Author:
Junge ZHOU
;
Yong QIU
;
Bo CEN
;
Yong JIANG
- Publication Type:Journal Article
- Keywords:
biocompatible materials;
skul;
edema;
universal precautions
- From:
Chinese Journal of Tissue Engineering Research
2014;(8):1301-1306
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:Subcutaneous effusion often occurs after digital shaping titanium mesh cranioplasty, and affects therapeutic effects.
OBJECTIVE:To explore the causes and corresponding prevention measures of subcutaneous effusion after digital shaping titanium mesh cranioplasty.
METHODS: We retrospectively analyzed the clinical data and treatment methods of 19 cases of subcutaneous effusion after digital shaping titanium mesh cranioplasty, summarized the postoperative complications and explored the effective methods for prevention and treatment of subcutaneous effusion.
RESULTS AND CONCLUSION: After active treatment, five cases of dural breakage, four cases of foreign body stimulation, three cases of getting out of bed early, three cases of early extubation, three cases of long-time operation repair, and one case of excessive use of electric knife were al cured. Dural breakage and foreign body stimulation is considered as the main causes of postoperative effusion. Patients with subcutaneous effusion were given releasing elastic bandage, aspiration, and strict bed rest. After these active treatments, patients were al cured. Subcutaneous effusion may result from single or mixed factors. The above-mentioned causes are only a part. Non-central suspension, incomplete hemostasis, and preoperative excessive colapse of the bone window are al reported to be the reasons for the occurrence of subcutaneous effusion.