[The application of the dissociate bone flap in treatment of the macrosis depressed skull fracture on the frontal orbit part].
OBJECTIVE
To study the reconstructive effect of the dissociate bone flap to repair the macrosis depressed skull fracture on the frontal and orbit part.


METHODS
The coronal scalp flap was elevated and dissociate bone flap was expanding to the 2cm width beside the edge of depressed skull fracture. The first step was to extract the dissociate bone flap and make there is an area for operating . Then extract free bone fragments, and elevate the depressed orbital lamina and use the biological glue to stick it to its position. The free fragments extracted were stacked into a whole one and it to its position in use of the biological glue on the dissociate bone flap. The uneven inner table should was smoother with bon-wax. The prosthetic dissociate bone flap was put back on its position and fixation.


RESULTS
From January 2000 to December 2004, 17 cases of the macrosis depressed skull fracture on the frontal and orbit part undertaken plastic surgery by the dissociate bone flap to treat the macrosis depressed skull fracture and obtained excellent curative effect.


CONCLUSIONS
Using dissociate bone flap to treat the mocrosis depressed skull fracture on the frontal and orbit part can avoid the complication of the traditional operation, and make the method become a plastic surgical operation.
Zhuang
Ming-Hua
MH
Department of Neurosurgery of The Second Affiliated Hospital of Shantou University Medical College, Shantou 515041, China.
Xie
Ze-Yu
ZY
Ding
Shan
S
Xiang
Zhi-Xiong
ZX
Luo
Jian-Ming
JM
D000328:Adult; D016025:Bone Transplantation / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D009915:Orbit; D009917:Orbital Fractures / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D020204:Skull Fracture, Depressed / Q000601:surgery*; D013524:Surgical Flaps; D055815:Young Adult