Cranial cavernous hemangioma resection

Spongiform malformation of the skull is a common disease of the skull, which occurs in the forehead and the top. It often originates in the slab and can also invade the inner and outer plates. Slow growth, benign, mostly occurs in adolescents. According to its shape, it can be divided into two types: flat and spherical. Clinical symptoms are not obvious. If the bulge is inward and outward, headache and tenderness may occur. It can be diagnosed by X-ray film and angiography. The treatment of this lesion is mainly surgical resection. Treatment of diseases: intracranial cavernous hemangioma Indication 1. When the lesion is compressed into the brain, it is feasible to remove the symptoms of brain compression. 2. Although the lesion is small, it does affect the appearance, the patient has a mental burden, and can be surgically removed as soon as possible. Preoperative preparation 1. There may be more bleeding during the operation, so you should prepare for blood transfusion. 2. After the lesion is removed, there is a skull defect, and the skull forming material should be prepared. Surgical procedure Incision According to the location and size of the lesion, a flap incision is selected. Cut into the lower layer of the aponeurotic aponeurosis, open the flap, and visible lesions under the periosteum. 2. Lesion revealed The periosteum was cut along the periphery of the lesion to fully expose the skull that was invaded by the lesion, and the bleeding site was immediately smeared with bone wax to stop bleeding. 3. Lesion removal 4 to 6 holes are drilled about 1cm from the edge of the lesion. Saw the bone flap with a wire saw. If there is bleeding, the bone wax can be filled with the bone suture to temporarily stop the bleeding. If the vascular barrier is thickened before surgery, the passage is seen. Keep it for the last saw. After the bone flap saw was removed, the lesion was completely removed. Bone hemorrhage is covered with bone wax to stop bleeding. If there is any residue, use a bite clamp to bite off, and use dry brain cotton to protect the surrounding tissue, apply the bone edge with 10% formaldehyde solution, 75% ethanol or stone carbonate solution, then rinse with normal saline to remove the brain cotton and completely stop bleeding. One-stage repair with plexiglass, medical silica gel or titanium steel sheet. 4. Incision suture A porous rubber drainage tube was placed in the incision for drainage, and a small incision was made outside the incision to suture the aponeurosis and the skin layer by layer. The drainage tube was removed 48 hours after surgery. complication 1. Rebleeding, hematoma formation, can cause disturbance of consciousness, and even hemiplegia. 2. Incision infection or skull infection.