Cranial repair surgery application sharing
Cranial repair is a routine surgery in neurosurgery, mainly used to treat skull defects, this article shares the process and precautions of skull repair, welcome to visit our website.
Cranial repair surgery application sharing
Cranial repair is a routine operation in neurosurgery, mainly used for the treatment of skull defects, is a surgical operation for the repair of skull defects caused by various reasons, the purpose is to restore the closed cranial cavity of the skull, restore the normal and stable cranial cavity environment, and ensure the normal operation of various nerve functions and life activities.
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Skull repair materials
Glass materials, bone cement, silicone and other materials are no longer used in clinical practice because of various defects. At present, the skull repair material widely used in most hospitals is titanium mesh material, but there are still certain defects in this material, such as postoperative infection rejection, cold and heat sensitive reaction, easy to be deformed by force, affecting CT MRI examination and so on. Now there is a more advanced material called polyetheretherketone PEEK material.
Polyetheretherketone PEEK material is a new type of special polymer material with excellent performance, which overcomes various problems that may arise from titanium mesh materials, and can achieve very excellent repair results when applied in skull repair. The properties of PEEK material are very close to the human autologous skull, and it is very excellent in terms of hardness, elasticity, heat insulation, histocompatibility, plasticity, etc., and can also be personalized according to the shape and structure of the patient's skull, so as to highly restore the appearance of the skull.
Skull repair surgery procedure
Preoperative evaluation: The doctor will make a thorough evaluation of the patient, including the size, location, and shape of the skull defect, as well as the patient's overall health. Imaging tests, such as CT or MRI, may be done to determine the best repair option.
Surgical preparation: Patients need to make some preparations before surgery, such as fasting, fasting, and skin preparation. At the same time, the doctor will give appropriate antibiotics to prevent infection according to the patient's condition.
Surgical incisions: Surgery is usually performed at the site of the skull defect, and the doctor will choose the appropriate incision based on the size and shape of the defect. The incision is generally curved or straight and is about 6 to 10 cm long.
Exposing the skull defect: Through an incision, the doctor cuts through the skin, subcutaneous tissue, and muscles, layer by layer, to expose the edges of the skull defect. The periosteum around the defect is then stripped away using special instruments to allow for better placement of the repair material.
Selection of repair materials: At present, commonly used cranial repair materials include titanium mesh, polyetheretherketone PEEK, etc. The doctor will select the appropriate repair material for the patient's specific situation and trim and shape it to match the shape of the skull defect.
Placement of the repair material: The trimmed repair material is placed over the skull defect and fixed to the skull with a special fixation device. The fixation device can be titanium nails, titanium plates, or sutures, etc., depending on the repair material and the patient's condition.
Suture the wound: After the repair material is placed, the doctor will suture the wound layer by layer, including the skin, subcutaneous tissue, and muscles. Attention should be paid to wound alignment and hemostasis during suturing to promote wound healing.
Post-operative care: After surgery, patients need to be observed and cared for in the hospital. Doctors will give appropriate antibiotics and pain relievers to prevent infection and reduce pain. At the same time, the patient needs to pay attention to rest, avoid strenuous exercise and head collision so as not to affect the healing of the wound, and about seven days after the operation, the sutures are removed. The patient is normal, with no abnormal presentation or sensation. After about two weeks after the operation, I will resume my normal study and work.
Are there any after-effects of skull repair surgery?
Most patients recover after cranial repair, and a small number of patients will experience the following complications and sequelae after surgery. Some patients experience rejection of cranial repair materials, such as titanium plate rejection or PEEK material rejection. After skull repair, some patients will have manifestations of focal cerebral cortical ischemia, resulting in exacerbated limb mobility or sensory impairment. It is mainly due to the rejection of the titanium plate or the exudation under the PEEK material after skull repair, which leads to local infection, poor healing of the flap, and exposure of the repair material, resulting in poor wound healing. Repair materials are prepared four working days before surgery, and the patient is given a physical examination such as blood tests and CT scans. CT was re-examined on the second day after surgery to observe the patient's surgical condition and brain condition.
Precautions after skull repair surgery
After skull repair surgery, observe the patient's vital signs and wound dressing drainage, take care of the drain, avoid twisting and blocking the drain, and keep the drain unobstructed. At the same time, observe the color and nature of the drainage fluid and make a record. Keep wound dressings dry and clean to avoid infection, and use antibiotics as recommended by your doctor. If the pain is severe after surgery, painkillers can be used under the guidance of a doctor. Keep the stool smooth after surgery and avoid constipation, which can cause increased intracranial pressure.