乳児growing skull fractureに対する手術の工夫：骨膜付き骨片移植と吸収性プレートの有用性

抄録

Growing skull fracture (GSF) is well known but rare complication that can occur in infants and young children. The principle concept of treatment for GSF was simple, but detailed methodology for surgery is still controversial especially in infantile cases. GSF can be a challenging surgical problem facing the pediatric neurosurgeon.

We presented an 8-month-girl exhibited her left parietal bulging after head injury four months later. CT and MRI findings demonstrated typical widened fracture (20 mm ¥ 65 mm) and leptomeningeal cyst. We repaired dural defect with autologous periostium and cranial defect with vascularised bone flap. It was very useful to use absorbable plate and screw system for rigid cranial fixation. Our surgical concept for GFS in younger children is not to use foreign materials and make sure cranial fixation as soon as possible.