Free bone flap reconstruction in retrosigmoid approach for microvascular decompression: a comparative cohort study

doi:10.1007/s10143-024-02753-x

科研成果详情

题名	Free bone flap reconstruction in retrosigmoid approach for microvascular decompression: a comparative cohort study
作者	Li, Shize 1; Zhang, Zhongding 2; Xu, Shangyu1; Shen, Fang 3; Yang, Yue 1; Fang, Huangyi1; Xu, Tao 1; Tian, Weixian1; Li, Shiting 2; Sheng, Hansong1
发表日期	2024-09-05
发表期刊	Neurosurgical Review 影响因子和分区
语种	英语
原始文献类型	Article
关键词	Microvascular decompression Retrosigmoid approach Cranioplasty Postoperative complication Titanium plates
其他关键词	CRANIAL NERVES ; CRANIOTOMY ; REMOVAL ; LEAK
摘要	Titanium plates and screws are common material used for rigid bone flap fixation after retrosigmoid craniotomy such as microvascular decompression (MVD). We conducted this study to evaluate outcomes of the free bone flap cranioplasty without fixation in MVD and compared its postoperative complication rate with routine methods. We retrospectively reviewed all patients who underwent MVD at our institution from May 2017 to August 2022. Patients were divided into two groups according to whether the bone flap was fixed or not. Follow-ups periods spanned 6-28 months after the operation. Of 189 patients who underwent MVDs via retrosigmoid approach, 79 cases (42%) had their bone flaps replaced without titanium fixation after craniotomies (< 3 cm x 3 cm). Compared to fixed bone flap group, free bone flap group had shorter operative time (105.56 +/- 15.87 min vs. 113.72 +/- 17.80 min, P = 0.001), less in-patient costs (& YEN;23059.66 +/- 4488.54 vs. & YEN;27714.82 +/- 2705.74, P < 0.001), and less proportion of postoperative headache and incisional pain (43.0% vs. 60.9%, P = 0.015). One case of incisional cerebrospinal fluid leak happened in free bone flap group while one case of incisional infection happened in fixed bone flap group. No statistical difference in bone flap displacement, duration of postoperative hospital stays or complication rate was found between the two groups. Nineteen patients in free bone flap group received long-term CT follow-up and all were proved to have good skull union. This study proves that free bone flap cranioplasty in MVD without titanium plate fixation can shorten the operation time and reduce hospitalization expenditure without increasing complication rates.
资助项目	Natural Science Foundation of Zhejiang Province [ZCLY24H1603]; Wenzhou Science and Technology Bureau Project [Y20240093]; National Natural Science Foundation of China [82171360]
出版者	SPRINGER
ISSN	0344-5607
EISSN	1437-2320
卷号	47 期号:1
DOI	10.1007/s10143-024-02753-x
页数	7
WOS类目	Clinical Neurology ; Surgery
WOS研究方向	Neurosciences & Neurology ; Surgery
WOS记录号	WOS:001306454000006
收录类别	SCIE ; SCOPUS ; PUBMED
URL	查看原文
PubMed ID	39231838
SCOPUSEID	2-s2.0-85203281852
通讯作者地址	[Sheng, Hansong]Wenzhou Med Univ, Affiliated Hosp 2, Dept Neurosurg, Wenzhou, Peoples R China.
Scopus学科分类	Surgery;Neurology (clinical)
SCOPUS_ID	SCOPUS_ID:85203281852
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/218670
专题	附属第二医院附属第二医院_神经外科第二临床医学院、附属第二医院、育英儿童医院
通讯作者	Sheng, Hansong
作者单位	1.Wenzhou Med Univ, Affiliated Hosp 2, Dept Neurosurg, Wenzhou, Peoples R China; 2.Shanghai Jiao Tong Univ, Xinhua Hosp, Sch Med, Dept Neurosurg, Shanghai, Peoples R China; 3.Dorevitch Pathol, West Albury, NSW 2640, Australia
第一作者单位	附属第二医院; 第二临床医学院，附属第二医院、育英儿童医院; 神经外科
通讯作者单位	附属第二医院; 第二临床医学院，附属第二医院、育英儿童医院; 神经外科
第一作者的第一单位	附属第二医院
推荐引用方式 GB/T 7714	Li, Shize,Zhang, Zhongding,Xu, Shangyu,et al. Free bone flap reconstruction in retrosigmoid approach for microvascular decompression: a comparative cohort study[J]. Neurosurgical Review,2024,47(1).
APA	Li, Shize., Zhang, Zhongding., Xu, Shangyu., Shen, Fang., Yang, Yue., ... & Sheng, Hansong. (2024). Free bone flap reconstruction in retrosigmoid approach for microvascular decompression: a comparative cohort study. Neurosurgical Review, 47(1).
MLA	Li, Shize,et al."Free bone flap reconstruction in retrosigmoid approach for microvascular decompression: a comparative cohort study".Neurosurgical Review 47.1(2024).