https://scholars.lib.ntu.edu.tw/handle/123456789/629399
Title: | Use of the "mortise and tenon" principle in the augmentation of autologous cranioplasty using bone cement in a child | Authors: | Li, Chien-Hsun SHIH-HUNG YANG Wang, Huei-Shyong YONG-KWANG TU MENG-FAI KUO |
Keywords: | Cranioplasty; Decompressive craniectomy; Mortise and tenon; PMMA; DECOMPRESSIVE CRANIECTOMY; DEFECTS; GRAFTS; FLAPS | Issue Date: | Dec-2010 | Publisher: | SPRINGER | Journal Volume: | 26 | Journal Issue: | 12 | Start page/Pages: | 1807 | Source: | Child's nervous system | Abstract: | We report the case of a 20-month-old boy with autologous bone graft resorption that resulted in a floating bone graft and progressive asymmetric deformity of the skull. The patient had undergone decompressive craniectomy for acute subdural hematoma at the age of 13 months after a fall, followed by cranioplasty 1 month later with an autologous bone graft, which was stored in a freezer immediately after surgery. We used the mortise and tenon principle to replace the screws and plates to join a polymethylmethacrylate prosthesis to the skull, augmenting the resorbed autologous bone graft. The cosmetic effect was maintained and craniocerebral protection was restored. It is thought that this technique could be used for bone defects of various sizes in patients of any age in cases where screws and plates are not suitable. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/629399 | ISSN: | 0256-7040 | DOI: | 10.1007/s00381-010-1228-5 |
Appears in Collections: | 醫學系 |
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