craniopexy craniopexy

Craniocarpoclavectomy for the treatment of maxillary fractures. Halo Frame is also known as Head Frame. The main components of this device are: 1 head ring (Halo), made of stainless steel rod, ultra-light aluminum alloy square rod (6mm), or acrylate material, the head circumference is different, but the head ring and head must be made There is a certain gap between them. Choose from complex, assembled or finished headband brackets (commercially available) such as Irby Head Frame (1955) and Georgia de (1966) designed "Visor-Halo Fixation Apparatus" The former needs to make 4 bone nails on the skull (frontal and parietal bone), and the latter needs to hit 9 bone nails on the pillow, the top and the frontal bone. According to the survey, the former use rate is higher than the latter. 2 studs, made of stainless steel or Vitalium, with lengths of 4.5 cm, 6 cm, and 8 cm. Install the headband bracket on the external bone nail. 3 Connect the joint nut. Curing disease: Indication 1, LeFortI, II, III type fresh fracture, old fibrous / bone dislocation healing, need to be cut, continuous traction reduction. 2, the humeral dislocation healing, need to cut open the reset. 3, nasal bone collapse fracture, need to suspend the nose. Surgical procedure 1. After shaving off the pillow and the top of the hair, clean and disinfect the scalp, put the nail into the nail, and press the scalp with your fingers. 2. Head nail positioning. One side of the eyebrows on both sides, one of the head nails on the posterior aspect of the occipital bone, passing through the slab, just to the inner plate, and simultaneously tightening the front cranial nail and the diagonal posterior cranial nail after the nail is inserted, and then Change another pair, the head nail and the skull are 90°, avoiding the nail on the bone surface above the squamous sinus, sinus and frontal sinus. 3, select the head ring model, large 59 ~ 66cm, medium 51 ~ 58cm, small 43 ~ 50cm, in order to make a certain gap between the head ring and the head, the head ring is installed on the outer bone of the skull, the nail end is fixed with screws. 4. Install the front tow bar on the head ring so that the upper jaw fracture segment can be hung up on the head ring, and the front drawbar is used for forward traction. complication 1, nail infection, skull osteomyelitis. Local mild myelitis occurs. This is a reaction to foreign bodies and stress. It is not a serious problem. Although a small amount of exudate in the nail does not indicate the presence of severe inflammation, the patient has no pain. Severe is suppurative osteomyelitis, which is due to surgical sterilization is not strict, or because the head nail moves to the sides of the bone, causing bacteria to bring in, the patient has pain, and local symptoms of acute inflammation, at this time Do not remove the nails. 2, the skull nail into the nail is too deep, can pierce the dura mater, seep from the nail channel cerebrospinal fluid, generally can stop.