請用此 Handle URI 來引用此文件：
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/16245完整後設資料紀錄
| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 林?輝(Feng-Huei Lin) | |
| dc.contributor.author | Woon-Man Kung | en |
| dc.contributor.author | 龔煥文 | zh_TW |
| dc.date.accessioned | 2021-06-07T18:06:31Z | - |
| dc.date.copyright | 2012-08-01 | |
| dc.date.issued | 2012 | |
| dc.date.submitted | 2012-07-24 | |
| dc.identifier.citation | REFERENCES
[1]. Adamo, M.A., Drazin, D., and Waldman, J.B. Decompressive craniectomy and postoperative complication management in infants and toddlers with severe traumatic brain injuries. J. Neurosurg. Pediatr. (2009); 3, 334–339. [2]. Durham, S.R., McComb, J.G., and Levy, M.L. Correction of large ( > 25cm2) cranial defects with ‘‘reinforced’’ hydroxyapatite cement: technique and complications. Neurosurgery (2003); 52, 842–845. [3]. Schirmer, C.M., Ackil, A.A., Jr., and Malek, A.M. Decompressive craniectomy. Neurocrit. Care (2008); 8, 456–470. [4]. Timofeev, I., Kirkpatrick, P.J., Corteen, E., Hiler, M., Czosnyka, M., Menon, D.K., Pickard, J.D., and Hutchinson, P.J. Decompressive craniectomy in traumatic brain injury: outcome following protocol-driven therapy. Acta Neurochir. Suppl. (2006); 96, 11–16. [5]. Scholz, M., Wehmöller, M., Lehmbrock, J., Schmieder, K., Engelhardt, M., Harders, A., and Eufinger, H. Reconstruction of the temporal contour for traumatic tissue loss using a CAD/CAM-prefabricated titanium implant-case report. J. Craniomaxillofac. Surg. (2007); 35, 388–392. [6]. Janecka, I.P. New reconstructive technologies in skull base surgery: role of titanium mesh and porous polyethylene. Arch. Otolaryngol. Head Neck Surg. (2000); 126, 396–401. [7]. Lakhani, R.S., Shibuya, T.Y., Mathog, R.H., Marks, S.C., Burgio, D.L., and Yoo, G.H. Titanium mesh repair of the severely comminuted frontal sinus fracture. Arch. Otolaryngol. Head Neck Surg. (2001); 127, 665–669. [8]. Malis, L.I. Titanium mesh and acrylic cranioplasty. Neurosurgery (1989); 25, 351–355. [9]. Cabraja, M., Klein, M., and Lehmann, T.N. Long-term results following titanium cranioplasty of large skull defects. Neurosurg. Focus (2009); 26, E10. [10]. Seyithanoğlu, H., Emel, E., Alatasx, I., Ergün, S.S., Atilganoğlu, U., Uğurad, I., and Arikan, M. Surgical repair of self-inflicted skin ulceration, cranial and dural defect created by a chronic schizophrenic patient. J. Ist. Faculty Med. (2006); 69, 44–48. [11]. Grant, G.A., Jolley, M., Ellenbogen, R.G., Roberts, T.S., Gruss, J.R., and Loeser, J.D. Failure of autologous bone-assisted cranioplasty following decompressive craniectomy in children and adolescents. J. Neurosurgery (2004); 100 (2 Suppl. Pediatrics), 163–168. [12]. Kaiser, A., Illi, O.E., Sailer, H.F., and Stauffer, U.G. Cranioplasties for congenital and acquired skull defects in children—comparison of new concepts with conventional methods. Eur. J. Pediatr. Surg. (1993); 3, 236–240. [13]. Matic, D.B., and Manson, P.N. Biomechanical analysis of hydroxyapatite cement cranioplasty. J. Craniofac. Surg. (2004); 15, 415–422. [14]. Agner, C., McConathy, D., and Dujovny, M. Evaluation of autogenic, xenogenic and alloplastic materials used for cranioplasty. Crit. Rev. Neurosurg. (1997); 7, 365–372. [15]. Marchac, D., and Greensmith, A. Long-term experience with methylmethacrylate cranioplasty in craniofacial surgery. J. Plast. Reconstr. Aesthet. Surg. (2008); 61, 744–752. [16]. Staffa, G., Nataloni, A., Compagnone, C., and Servadei, F. Custom made cranioplasty prostheses in porous hydroxy-apatite using 3D design techniques: 7 years experience in 25 patients. Acta Neurochir. (Wien.) (2007); 149, 161–170. [17]. Bandyopadhyay, T.K., Thapliyal, GK., and Dubey, A.K. Reconstruction of cranial defects in armed forces personnel—our experience. Med. J. Armed Forces India (2005); 61, 36–40. [18]. Psillakis, J.M., Nocchi, V.L., and Zanini, S.A. Repair of large defect of frontal bone with free graft of outer table of parietal bones. Plast. Reconstr. Surg. (1979); 64, 827–830. [19]. Lee, J.W., Kim, J.H., Kang, H.I., Moon, B.G., Lee, S.J., and Kim, J.S. Epidural fluid collection after cranioplasty: fate and predictive factors. J. Korean Neurosurg. Soc. (2011); 50, 231–234. [20]. Winn, H.R. Youmans Neurological Surgery (2011); 6th ed., Vol. 1, Section II, Chapter 32. ISBN 9781416053163. [21]. Zonenshayn, M., Kronberg, E., and Souweidane, M.M. Cranial index of symmetry: an objective semiautomated measure of plagiocephaly. Technical note. J. Neurosurg. (2004); 100 (5 Suppl. Pediatrics), 537–540. [22]. Ju, D.T., Lin, J.W., Lin, M.S., Lee, L.M., Tseng, H.M., Wei, C.P., Yen, C.H., Hung, C.C., Hung, K.S., Lin, C.M., Lin, T.J., Chiu, W.T., and Tsai, J.T. Hypofractionated CyberKnife stereotactic radiosurgery for acoustic neuromas with and without association to neurofibromatosis Type 2. Acta Neurochir. Suppl. (2008); 101, 169–173. [23]. House, J.W., and Brackmann, D.E. Facial nerve grading system. Otolaryngol. Head Neck Surg. (1985); 93, 146–147. [24]. Chang, S., Harrington, T.R., and Petersen, S.R. Craniectomy for traumatic brain injury. Barrow Quarterly (2003); 19, 9–17. [25]. Marbacher, S., Andres, R.H., Fathi, A.R., and Fandino, J. Primary reconstruction of open depressed skull fractures with titanium mesh. J. Craniofac. Surg. (2008); 19, 490–495. [26]. Joseph, V., and Reilly, P. Syndrome of the trephined. J. Neurosurg. (2009); 111:650-652. [27]. Gooch, M.R., Gin, G.E., Kenning, T.J., and German, J.W. Complications of cranioplasty following decompressive craniectomy: analysis of 62 cases. Neurosurg. Focus (2009); 26, E9. [28]. Kuttenberger, J.J., and Hardt, N. Long-term results following reconstruction of craniofacial defects with titanium micro-mesh systems. J. Maxillofac. Surg. (2001); 29, 75–81. [29]. Magni, G., La Rosa, I., Gimignani, S., Melillo, G., Imperiale, C., and Rosa, G. Early postoperative complications after intracranial surgery: comparison between total intravenous and balanced anesthesia. J. Neurosurg. Anesthesiol. (2007); 19, 229–234. [30]. Lin, S. J., Hanasono, M. M., and Skoracki, R. J. Scalp and calvarial reconstruction. Semin. Plast. Surg. (2008); 22:281-293. [31]. Timmons, R.L. Cranial defects and their repair. Neurological Surgery (1982); Youmans J.R. (ed). W.B. Saunders: New York, 2228–2250. [32]. Chang, V., Hartzfeld, P., Langlois, M., Mahmood, A., and Seyfried, D. Outcomes of cranial repair after craniectomy. J. Neurosurg. (2010); 112, 1120–1124. [33]. Eufinger, H., and Wehmöller, M. Individual prefabricated titanium implants in reconstructive craniofacial surgery: clinical and technical aspects of the first 22 cases. Plast. Reconstr. Surg. (1998); 102, 300–308. | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/16245 | - |
| dc.description.abstract | 在患者接受開顱減壓手術後，功能的重建及美觀與患者接下來的生活品質可說是息息相關。由於現今生物材質科技的進步，以三面體或三維鈦金屬網 (3-dimensional titanium mesh) 行顱骨成型術已成為因開顱手術導致顱骨缺損患者的一項新選擇。此研究則在觀察曾經接受三維鈦金屬網植體行顱骨成型術的患者，術後在外觀上或是手術預後上或是合併症上的一項回顧。回顧的個案總共40位（其中31位是接受單側顱骨切開術，9位是接受雙側顱骨切開術），這些患者是由2008年1月始在我們的醫院接受經電腦協助設計下的鈦金屬網植體植入 (computer-assisted designed titanium mesh implant)。檢視的重點包括外型美觀、第五對、第七對腦神經功能和其它相關合併症（植入物膨出、腦膜炎、骨髓炎、腦部膿瘍及氣腦）。評估結果發現頭臉部的對稱性、植入物的穩定性和功能上評估的成果都非常另人滿意。沒有一個患者被發現有三叉神經或臉部功能的異常。術後患者不論是以Ｘ光影像、個人或家人的審視眼光來看，都達到了整體美觀的效果。而其中有兩位患者產生延遲性的傷口癒合及後續輕度的傷口感染，但經過兩週的抗生素治療後也都痊癒。以三維鈦金屬網植體做為頭臉部骨骼重建，就術後頭臉部整體輪廓的美觀上，可行性可說是非常好的，術後患者能擁有較好的生活品質和極低的合併症。相對其它材質而言，鈦金屬網植體之重建可為較大範圍顱骨缺損的患者提供一個更優質的選擇。 | zh_TW |
| dc.description.abstract | Functional and aesthetic reconstruction after wide decompressive craniectomy directly correlates with subsequent quality of life. Advancements in the development of biomaterials have now made three-dimensional (3-D) titanium mesh a new option for the repair of skull defects after craniectomy. The purpose of this study was to review aesthetic and surgical outcomes and complications of patients who had skull defects repaired with 3-D titanium mesh. The records of 40 adult patients (31 unilateral craniectomies and 9 bilateral craniectomies) who underwent a computer-assisted designed titanium mesh implant at our institute from January 2008 were retrospectively reviewed. Aesthetic outcomes, cranial nerve V and VII function, and complications (hardware extrusions, meningitis, osteomyelitis, brain abscess, and pneumocephalus) were evaluated. The craniofacial symmetry, implant stability, and functional outcomes were excellent for all patients. No patients had trigeminal or facial dysfunction. All had excellent cosmetic results as measured by post-reduction radiographs and personal and family perceptions of the forehead contour. Two patients had delayed wound healing and subsequent subclinical wound infections, which resolved after treatment with antibiotics for 2 weeks. Craniofacial skeletal reconstruction with 3-D titanium mesh results in excellent forehead contour and cosmesis, and subsequently a better quality of life with few complications. Titanium mesh reconstruction offers a favorable alternative to other graft materials in the repair of large skull defects. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-07T18:06:31Z (GMT). No. of bitstreams: 1 ntu-101-R99548057-1.pdf: 1095373 bytes, checksum: 070af51a6bd95f0b5b3be7c79aa3c7dc (MD5) Previous issue date: 2012 | en |
| dc.description.tableofcontents | TABLE OF CONTENTS
口試委員會審定書 (APPROVAL PAGE) 誌謝 (ACKNOWLEDGEMENT) i 中文摘要 (ABSTRACT IN CHINESE) ii ABSTRACT iii TABLE OF CONTENTS iv LIST OF FIGURES v LIST OF TABLE vii Chapter 1 Introduction 1 Chapter 2 Materials and Methods 6 2.1 Patients 6 2.2 3D-titanium mesh design 6 2.3 Operative technique to 3D-titanium mesh cranioplasty 9 2.4 Outcome measures 11 2.5 Statistical analysis 12 Chapter 3 Results 13 3.1 Patient characteristics 13 3.2 Post-operative evaluation 16 Chapter 4 Discussion 21 Chapter 5 Conclusion 28 REFERENCES 29 | |
| dc.language.iso | en | |
| dc.subject | 開顱減壓手術 | zh_TW |
| dc.subject | 美觀 | zh_TW |
| dc.subject | 頭部外傷 | zh_TW |
| dc.subject | 生活品質 | zh_TW |
| dc.subject | 重建 | zh_TW |
| dc.subject | 三維鈦金屬網 | zh_TW |
| dc.subject | cosmesis | en |
| dc.subject | three-dimensional titanium mesh | en |
| dc.subject | reconstruction | en |
| dc.subject | quality of life | en |
| dc.subject | head injury | en |
| dc.subject | decompressive craniectomy | en |
| dc.title | 新重建科技於頭部外傷行開顱減壓手術後之應用：三面體鈦合金網的角色 | zh_TW |
| dc.title | New reconstructive technologies after decompressive craniectomy in traumatic brain injury: the role of 3-dimensional titanium mesh | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 100-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 姚俊旭(Chun-Hsu Yao),陳天牧(Tim-Mo Chen),董國忠(Guo-Chung) | |
| dc.subject.keyword | 美觀,開顱減壓手術,頭部外傷,生活品質,重建,三維鈦金屬網, | zh_TW |
| dc.subject.keyword | cosmesis,decompressive craniectomy,head injury,quality of life,reconstruction,three-dimensional titanium mesh, | en |
| dc.relation.page | 32 | |
| dc.rights.note | 未授權 | |
| dc.date.accepted | 2012-07-24 | |
| dc.contributor.author-college | 工學院 | zh_TW |
| dc.contributor.author-dept | 醫學工程學研究所 | zh_TW |
| 顯示於系所單位： | 醫學工程學研究所 | |
文件中的檔案：
| 檔案 | 大小 | 格式 | |
|---|---|---|---|
| ntu-101-1.pdf 未授權公開取用 | 1.07 MB | Adobe PDF |
系統中的文件，除了特別指名其著作權條款之外，均受到著作權保護，並且保留所有的權利。