Hinge Technique in One Stage Reduction Cranioplasty for Macrocephaly with Hydrocephalus - A Case Report -

수두증을 동반한 거대두개증 환아에서 격자술을 이용한 One Stage Reduction Cranioplasty - 증례보고 -

  • Weon, Keun Soo (Department of Neurosurgery, Ajou University School of Medicine) ;
  • Yoon, Soo Han (Department of Neurosurgery, Ajou University School of Medicine) ;
  • Shin, Yong Sam (Department of Neurosurgery, Ajou University School of Medicine) ;
  • Cho, Ki Hong (Department of Neurosurgery, Ajou University School of Medicine) ;
  • Cho, Kyung Gi (Department of Neurosurgery, Ajou University School of Medicine)
  • 원근수 (아주대학교 의과대학 신경외과학교실) ;
  • 윤수한 (아주대학교 의과대학 신경외과학교실) ;
  • 신용삼 (아주대학교 의과대학 신경외과학교실) ;
  • 조기홍 (아주대학교 의과대학 신경외과학교실) ;
  • 조경기 (아주대학교 의과대학 신경외과학교실)
  • Received : 2001.09.18
  • Accepted : 2001.12.03
  • Published : 2001.12.31

Abstract

Reduction cranioplasty is one of the treatment modality among many treatment options for macrocephaly with hydrocephalus. The most previous techniques of reduction cranioplasty have some disadvantages such as difficult airway maintenance, pressure sore due to modified prone position, severe venous infarct due to obstruction of venous blood flow and large amount of bleeding from the dissection of superior sagittal sinus to obtain bone fragment needed. A 28-month-old girl had extreme macrocephaly. She couldn't control head rotation and keep sitting position. The operation was performed at supine position with adequate exposure of entire calvarium and the hinge was made in occipital bone fragment that covered posterior part of superior sagittal sinus. Bleeding volume and the other complications were decreased and acceptable reduction was achieved with this method.

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