MODERN TECHNOLOGIES IN SURGICAL TREATMENT OF THE CONSEQUENCES OF SKULL AND BRAIN TRAUMA

Аннотация

The article presents the main surgically significant forms of post-traumatic pathology in 4136 patients with defects and deformities of the bones of the arch, base of the skull and facial skeleton, recurrent liquorrhea, arteriosine fistula, true and false aneurysms, etc. A classification of the consequences and complications of traumatic brain injury, as well as a periodization of its clinical course, has been developed. The possibilities of modern neuroimaging technologies for recognizing and investigating the pathogenesis of consequences and complications of traumatic brain injury are revealed. Special attention is paid to reconstructive and minimally invasive surgery, and the method of computer modeling and subsequent stereolithographic laser reproduction of full-scale copies of the skull, its defects and implants is described in detail, which is especially important for extensive and complex craniobasal and craniofacial injuries. The differentiated use of intracranial and эндоназальныхendonasal approaches for closing chronic CSF fistulas is justified. Together with the method of endovascular reconstruction of main vessels using balloon catheters developed by F. A. Serbinenko for the first time at the N. N. Burdenko Research Institute of Neurosurgery, new approaches based on modern technologies using stents, microspirals and embolizing compositions are presented.