後頭部扁平に対してカスタムメイド型人工骨移植を行った２例

抄録

  A flat occiput is a type of positional cranial deformity that is known to be caused by sleeping on one's back during infancy. Such cranial deformity can sometimes cause emotional distress of the patient. In such cases, cranioplasty can improve the patient's quality of life, and benefits from a psychological and social standpoint may be noted.
  However, there are few reports on treatment for a flat occiput. In this study, we report two adult patients with a flat occiput who underwent bone grafting using custom-made artificial bone to improve the appearance of the flattened occipital region. In both cases, we were able to achieve satisfactory tissue augmentation. In order to ensure safe wound closure, in one case we used a bipedicle flap and skin graft, and in the other case, a tissue expander was inserted prior to artificial bone grafting in order to stretch the scalp. Although each method has its advantages and disadvantages, by understanding the characteristics of each one, both may enable the procedure to be performed safely and effectively.