研究动态
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颅眶脑膜瘤切除术后硬脑膜缺损修补。

[Dural defect closure after resection of cranioorbital meningiomas].

发表日期:2023
作者: N V Lasunin, A N Abdullaev, V A Cherekaev, D N Okishev, N N Grigorieva, A V Kozlov
来源: Bone & Joint Journal

摘要:

颅眶脑膜瘤切除后的硬膜缺损闭合具有其自身的特点。扩展的恶性病变和涉及多个解剖区域的常见大骨缺损需要多个植入物或具有复杂几何形状的植入物。重建的这一阶段的特点在Burdenko神经外科杂志的上一期中有所描述。同时,植入物与鼻腔和上颌窦的接触要求软组织重建的密闭性和材料的不活性。在本综述中,我们描述了切除颅眶脑膜瘤后软组织缺损修复的现代方法和历史上有趣的方法。总结和分析可用文献数据,以重建颅眶脑膜瘤切除后的软组织缺损。作者回顾了关于颅眶脑膜瘤切除后软组织缺损修复的可用数据。分析了重建技术的有效性和材料的安全性。作者分析了42篇可用的全文文章。描述了颅眶脑膜瘤的生长和自然病程的特点,软组织缺损封闭的方法,现代材料和密封组合物。考虑到这些数据,作者提出了选择颅眶脑膜瘤切除后硬膜重建材料的算法。手术技术的改进,新材料和技术的发展提高了硬膜缺损闭合的效率和安全性。然而,与硬膜修复相关的并发症发生率高,需要进一步研究这一领域。
Dural defect closure after resection of cranioorbital meningiomas has its own specifics. Extended malignant lesions and common large bone defects involving various anatomical regions require multiple implants or implants with complex geometry. The features of this stage of reconstruction were described in the previous issue of the Burdenko Journal of Neurosurgery. At the same time, contact of implant with nasal cavity and paranasal sinuses dictates additional requirements for tightness of soft tissue reconstruction and inertness of material. In this review, we describe modern and historically interesting methods of reconstruction of soft tissue defects following resection of cranioorbital meningioma.To summarize and analyze available literature data on reconstruction of soft tissue defects following resection of cranioorbital meningioma.The authors reviewed available data on reconstruction of soft tissue defects after resection of cranioorbital meningiomas. Effectiveness of reconstruction techniques and safety of materials were analyzed.The authors analyzed 42 available full-text articles. Features of growth and natural course of cranioorbital meningioma, methods of soft tissue defects closure, modern materials and sealing compositions are described. Considering these data, the authors proposed the algorithms for selecting materials for dural reconstruction after resection of cranioorbital meningioma.Improvement of surgical technique, development of new materials and technologies increase the efficiency and safety of dural defect closure. Nevertheless, high incidence of complications associated with dura mater repair necessitates further research in this area.