0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Letters   |    
Soft-Tissue Manipulation Contributes to Craniofacial Symmetry as Importantly as Does Implant Reconstruction in Cranioplasty for Skull Defects
Muh-Shi Lin, M.D., Ph.D.
The Journal of Neuropsychiatry and Clinical Neurosciences 2013;25:E52-E53. doi:10.1176/appi.neuropsych.12080189
View Author and Article Information

Conflicts of interest: No competing financial interests.

Dept. of Surgery Faculty of Medicine, School of Medicine National Yang-Ming University Taipei, Taiwan
Dept. of Surgery School of Medicine Taipei Medical University Taipei, Taiwan
Dept. of Neurosurgery Taipei City Hospital, Zhong Xiao Branch Taipei, Taiwan
Division of Neurosurgery, Dept. of Surgery New Taipei City Hospital New Taipei City, Taiwan

Correspondence: Muh-Shi Lin, M.D., Ph.D.; e-mail: neurosurgery2005@yahoo.com.tw

Copyright © 2013 American Psychiatric Association

Extract

To the Editor: Under critical circumstances, such as diffuse cerebral edema caused by major traumatic brain injury and ischemic and hemorrhagic stroke, a wide decompressive craniectomy (DC) saves life and might improve the long-term outcome. However, another nightmare begins in surviving patients because they must endure skull defects unless reconstructive surgery is performed. The gross external appearance of the skull after craniectomy negatively affects patients physically and mentally, especially young patients who are concerned about their appearance.

Figures in this Article

First Page Preview

View Large
/>
First page PDF preview
Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
 
Username
Password
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

FIGURE 1. Soft-Tissue Manipulation for Restoring Craniofacial Symmetry

[A]: Thoroughly reflecting the temporalis muscle above the dura (epidural space), with tissueless margins of the skull defect for enhancing implant reduction; [B]: complete reflection (double arrow) of entire temporalis muscle above the dura, showing intact arachnoid membrane (single arrow); [C]: reflected temporalis muscle is tacked in place and reattached to the implants, using suspensory vicryl sutures to restore original anatomy (arrows in [C] and [D]).

+

References

Kung  WM;  Lin  MS:  A simplified technique for polymethyl methacrylate cranioplasty: combined cotton stacking and finger fracture method.  Brain Inj 2012; 26:1737–1742
[CrossRef] | [PubMed]
 
Kung  WM;  Lin  FH;  Hsiao  SH  et al:  New reconstructive technologies after decompressive craniectomy in traumatic brain injury: the role of three-dimensional titanium mesh.  J Neurotrauma 2012; 29:2030–2037
[CrossRef] | [PubMed]
 
References Container
+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Web of Science® Times Cited: 1

Related Content
Books
Textbook of Traumatic Brain Injury, 2nd Edition > Chapter 2.  >
Textbook of Traumatic Brain Injury, 2nd Edition > Chapter 2.  >
Textbook of Traumatic Brain Injury, 2nd Edition > Chapter 5.  >
Textbook of Traumatic Brain Injury, 2nd Edition > Chapter 2.  >
Textbook of Psychotherapeutic Treatments > Chapter 19.  >
Topic Collections
Psychiatric News
PubMed Articles