COMPARATIVE ANALYSIS OF THE RESULTS OF SURGICAL TREATMENT OF ACQUIRED SKULL DEFORMITY USING AUTOPLASTY AND CRANIOPLASTY WITH A TITANIUM PLATE
So far, the topic of treatment of depressed fracture in children of different age group remains relevant. One-step surgical correction in surgical treatment of patients with such a problem allows to avoid repeated surgical interventions (cranioplasty of bone defect), minimize risks of "trephined skull" syndrome development, reduce terms of recovery period, as well as to achieve better fates and good cosmetic results.The research work was based on treatment of 52 children who underwent surgery concerning the depressed fracture of skull cup in Neurosurgical Department of State Budgetary Institution of the Rostov region Regional Children's Clinical Hospital of Rostov-on-Don during the period from 2015 to 2019. Indications to surgery were: depression into skull cavity of fragments to the depth of 5.0-10.0mm, cosmetic defect. Surgical intervention for all children was carried out no later than 48 hours from the moment of injury.Satisfactory healing of postoperative wound was noted in all children operated by the technique developed by us. No signs of pyaemic reactions occurred in early, or late postoperative periods. Patients were dismissed in satisfactory condition and without neurologic impairment. In the course of dynamic study (X-ray computer tomography control - the control was carried out in 6 months, further in 1 year) a restoration of skull arch integrity was noted.The developed technique is technically not complicated, low-value economically, allows to eliminate at once the compression of parenchymatous tissue of encephalon by skull fragments and restore the integrity of skull arch. This technique allows improving the results of postoperative complications and improving a child's quality of life.