頭頚部腫よう切除後の頭蓋底再建術の検討

書誌事項

タイトル別名
  • A statistical analysis of 14 cases of skull base reconstruction.

抄録

Fourteen patients underwent reconstruction of skull base defects between 1989 and 1993. In this series, two patients required reoperations because of postoperative extradural abscess. Statistical analysis of the results of our series shows that the use of a bone graft is significantly associated with postoperative wound infection (p=0.033: Fisher Exact test). Although both patients with postoperative wound infections had preoperative radiation therapy, this is not significantly associated with infectious risk (p=0.308). The size of a bony defect, selection of a flap, and materials for a dural graft are not also significantly associated with postoperatve extradural abscess in this series. Eventually, all but one patients were well reconstructed without bone grafts. We feel that the use of bone grafts in reconstruction of skull base defects could lead to dead space and an increased chance for infectious complications. Although the number of patients in this series is not large, this study demonstrates that the use of bone grafts in reconstruction of skull base defects could be one of the factors in increasing the chances of infectious complications. We think that a bone graft is not necessary to reconstruct a moderate-sized skull base defect.

収録刊行物

  • 頭頸部腫瘍

    頭頸部腫瘍 20 (3), 516-519, 1994

    日本頭頸部癌学会

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詳細情報 詳細情報について

  • CRID
    1390282679705619712
  • NII論文ID
    130004166541
  • DOI
    10.5981/jjhnc1974.20.516
  • ISSN
    18839878
    09114335
  • 本文言語コード
    ja
  • データソース種別
    • JaLC
    • Crossref
    • CiNii Articles
  • 抄録ライセンスフラグ
    使用不可

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