PDF(Pubmed)
Abstract：
Bifrontal craniotomy frequently involves opening the frontal sinus and mucosal injury. We report a new technique for mucosal repair in the frontal sinus using surgical titanium microclips. Six consecutive patients who underwent bifrontal craniotomy with frontal sinus exposure and mucosal injury underwent mucosal repair using surgical titanium microclips between April 2019 and August 2022. In all cases, the frontal sinus mucosa was peeled from the inner walls of the frontal sinus to ensure sufficient mucosal margin for clipping using ORBEYE. The repair was accomplished with the microclips in all cases. We also sealed the mucosal wound using fibrin glue and sufficiently filled the frontal sinus with bone debris, resulting in zero incidence of postoperative liquorrhea in all cases. Repairing the mucosa using surgical titanium microclips using ORBEYE may be a simple and quick technique when the frontal sinus mucosa is injured during craniotomy.
摘要：
双额骨开颅术经常涉及额窦开放和粘膜损伤。我们报告了一种使用外科钛微夹修复额窦粘膜的新技术。在2019年4月至2022年8月之间，连续6例接受额窦暴露和粘膜损伤的双额开颅手术的患者使用外科钛微夹进行了粘膜修复。在所有情况下,将额窦粘膜从额窦内壁剥离,以确保使用ORBEYE进行足够的粘膜切缘。在所有情况下，都使用微夹子完成了修复。我们还使用纤维蛋白胶密封粘膜伤口，并用骨屑充分填充额窦，在所有情况下，术后油液的发生率为零。当额窦粘膜在开颅手术中受伤时，使用ORBEYE使用外科钛微夹子修复粘膜可能是一种简单而快速的技术。
