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논문 기본 정보

자료유형
학술저널
저자정보
Kim, Ji Hyun (Department of Plastic and Reconstructive Surgery, Bundang Jesaeng General Hospital) Lee, Ryun (Department of Plastic and Reconstructive Surgery, Bundang Jesaeng General Hospital) Shin, Chi Ho (Department of Plastic and Reconstructive Surgery, Bundang Jesaeng General Hospital) Kim, Han Kyu (Department of Neurosurgery, Bundang Cha General Hospital) Han, Yea Sik (Department of Plastic and Reconstructive Surgery, Bundang Jesaeng General Hospital)
저널정보
대한두개안면성형외과학회 Archives of craniofacial surgery : ACFS Archives of craniofacial surgery : ACFS 제19권 제2호
발행연도
2018.1
수록면
94 - 101 (8page)

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Background: Atrophy of muscle and fat often contributes to temporal hollowing after pterional craniotomy. However, the main cause is from the bony defect. Several methods to prevent temporal hollowing have been introduced, all with specific limitations. Autologous bone grafts are most ideal for cranial defect reconstruction. The authors investigated the effectiveness of bony defect coverage and temporal augmentation using pterional craniotomy bone flap. Methods: This study was conducted in 100 patients who underwent brain tumor excision through pterional approach from 2015 to 2016. Group 1 underwent pterional craniotomy with temporal augmentation and group 2 without temporal augmentation. In group 1, after splitting the calvarial bone at the diploic space, the inner table was used for covering the bone defect and as an onlay graft for temporal augmentation. The outcome is evaluated by computed tomography at 1-year follow-up. Results: The mean operative time for temporal augmentation was 45 minutes. The mean follow-up was 12 months. The ratio of temporal thickness of operated side to non-operated side was 0.99 in group 1 and 0.44 in group 2, which was statistically different. The mean visual analogue scale score was 1.77 in group 1 and 6.85 in group 2. Conclusion: This study demonstrated a surgical technique using autologous bone graft for successfully preventing the temporal hollowing and improved patient satisfaction.

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