RESUMEN
An overview of the methods of fixation of the skull bones is presented,as well as discussion and characterization of different methods of fixation. A new system of fixation of the skull bones was used in osseous-plastic trepanation and reconstructive operations using nitinol craniofixators. Results of cranioplasty using craniofixators were analyzed in 62 patients with craniocerebral injuries and its consequences, vascular and oncological diseases of the brain. There were no complications in the postoperative period. Articles made of nitinol are very strong, elastic and have the effect of thermo-mechanical memory of the form.
Asunto(s)
Aleaciones , Fijación de Fractura/instrumentación , Traumatismos Cerrados de la Cabeza/cirugía , Procedimientos de Cirugía Plástica/instrumentación , Fracturas Craneales/cirugía , Hueso Temporal/lesiones , Estudios de Seguimiento , Traumatismos Cerrados de la Cabeza/diagnóstico por imagen , Humanos , Masculino , Radiografía , Fracturas Craneales/diagnóstico por imagen , Hueso Temporal/cirugía , Adulto JovenRESUMEN
A study is presented of 37 cases of chronic subdural hematomas. Initial manifestations: headache, epileptic seizures, mental disorders. Involvement of the III, V, VII cranial nerves, anisocoria almost in 50% on the contralateral side were noted. CSF xanthochromia is of certain diagnostic significance. Carotid angiography is the most informative method. Osteoplastic trephination with evacuation of the hematoma is the method of choice.