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

Other Title
수두증을 동반한 거대두개증 환아에서 격자술을 이용한 One Stage Reduction Cranioplasty
Authors
원, 근수; 윤, 수한; 신, 용삼; 조, 기홍; 조, 경기
Citation
Taehan Sinkyŏng Oekwa Hakhoe chi, 30(suppl.1):S159-S164, 2001
Journal Title
Taehan Sinkyŏng Oekwa Hakhoe chi; Journal of Korean Neurosurgical Society; 대한신경외과학회지
ISSN
1225-8245
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.
Keywords
Reduction cranioplastyHinge techniqueMacrocephaly
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Neurosurgery
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