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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.17 No.2
- 발행연도
- 2015.1
- 수록면
- 93 - 100 (8page)
이용수
초록· 키워드
오류제보하기
Objective:Pterional craniotomy (PC) using myocutaneous (MC) flap is a simple and efficient technique; however, due to subsequent inferior displacement (ID) of the temporalis muscle, it can cause postoperative deformities of the muscle such as depression along the inferior margin of the temporal line of the frontal bone (DTL) and muscular protrusion at the inferior portion of the temporal fossa (PITF). Herein, we introduce a simple method for reconstruction of the temporalis muscle using a contourable strut plate (CSP) and evaluate its efficacy. Materials and Methods:Patients at follow-ups between January 2014 and October 2014 after PCs were enrolled in this study. Their postoperative deformities of the temporalis muscle including ID, DTL, and PITF were evaluated. These PC cases using MC flap were classified according to two groups; one with conventional technique without CSP (MC Only) and another with reconstruction of the temporalis muscle using CSP (MC + CSP). Statistical analyses were performed for comparison between the two groups. Results:Lower incidences of ID of the muscle (p < 0.001), DTL (p < 0.001), and PITF (p = 0.001) were observed in the MC + CSP than in the MC Only group. The incidence of acceptable outcome was markedly higher in the MC + CSP group (p < 0.001). ID was regarded as a causative factor for DTL and PITF (p < 0.001 in both). Conclusion:Reconstruction of the temporalis muscle using CSP after MC flap is a simple and efficient technique, which provides an outstanding outcome in terms of anatomical restoration of the temporalis muscle.
목차
등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Ammirati M / 1993 / An anatomicosurgical study of the temporal branch of the facial nerve / Neurosurgery 33(6):1038~1043
Blaisdell FW / 1978 / Management of acute lower extremity arterial ischemia due to embolism and thrombosis / Surgery 84(6):822~834
Bowles AP Jr / 1999 / Reconstruction of the temporalis muscle for pterional and cranio-orbital craniotomies / Surg Neurol 52(5):524~529
Brunori A / 1997 / Transosseous reconstruction of temporalis muscle for pterional craniotomy:technical note / Minim Invasive Neurosurg 40(1):22~23
Coscarella E / 2000 / Subfascial and submuscular methods of temporal muscle dissection and their relationship to the frontal branch of the facial nerve. Technical note / J Neurosurg 92(5):877~880
Blaisdell FW / 1978 / Management of acute lower extremity arterial ischemia due to embolism and thrombosis / Surgery 84(6):822~834
Bowles AP Jr / 1999 / Reconstruction of the temporalis muscle for pterional and cranio-orbital craniotomies / Surg Neurol 52(5):524~529
Brunori A / 1997 / Transosseous reconstruction of temporalis muscle for pterional craniotomy:technical note / Minim Invasive Neurosurg 40(1):22~23
Coscarella E / 2000 / Subfascial and submuscular methods of temporal muscle dissection and their relationship to the frontal branch of the facial nerve. Technical note / J Neurosurg 92(5):877~880
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