Histological Examination of Expanded Polytetrafluoroethylene Artificial Dura Mater at 14 Years After Craniotomy:—Case Report—
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概要
- 論文の詳細を見る
Expanded polytetrafluoroethylene (ePTFE) porous material (GORE® PRECLUDE® Dura Substitute) does not degenerate or deteriorate in vivo, and is currently used as artificial dura mater. This material does not adhere well to the surrounding tissues, but cerebrospinal fluid leakage along the suture line has been observed in several cases. We describe a case of craniotomy for tumor resection performed 14 years after dural repair with ePTFE sheet. Histological examination of the ePTFE sheet revealed that the sheet was structurally intact, with no evidence of tissue adhesion or cellular infiltration. However, collagen deposition was observed around the suture thread. When the suture thread was removed the collagen was also removed, and the original needle hole appeared again. No significant changes were observed in the features of the ePTFE sheet even 14 years postoperatively. The formation of fibrous tissue around the needle hole was important in preventing cerebrospinal fluid leakage.
著者
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TSUTSUMI Masanori
Department of Neurosurgery, Fukuoka University Chikushi Hospital
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SAKAMOTO Kimiya
Department of Neurosurgery, Fukuoka University Chikushi Hospital
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Etou Housei
Department Of Neurosurgery Fukuoka University Chikushi Hospital
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Narita Sumito
Department Of Cardiology Saiseikai Futsukaichi Hospital
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Aikawa Hiroshi
Department Of Environmental Health Tokai University School Of Medicine
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Yoshida Hidenori
Department Of Health Sciences Niigata University School Of Medicine
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Matsumoto Yoshihisa
Department Of Anesthesiology And Intensive Care Medicine Graduate School Of Medical Science Kanazawa
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Sakamoto Kimiya
Department of Neurosurgery and Neuroradiology, Fukuoka University Chikushi Hospital
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Tsutsumi Masanori
Department of Neurosurgery and Neuroradiology, Fukuoka University Chikushi Hospital
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Kazekawa Kiyoshi
Department of Neurosurgery and Neuroradiology, Fukuoka University Chikushi Hospital
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NARITA Sumito
Department of Neurosurgery, Fukuoka University Chikushi Hospital
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MATSUMOTO Yoshihisa
Department of Neurosurgery, Fukuoka University Chikushi Hospital
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