surgoncoКреативная хирургия и онкологияCreative surgery and oncology2076-30932307-0501Башкирский государственный медицинский университет10.24060/2076-3093-2026-16-1-90-95surgonco-1183Research ArticleКЛИНИЧЕСКИЙ СЛУЧАЙCLINICAL CASESУдаление аневризмы поверхностной височной артерии (осложнение краниопластики): клинический случайResection of a Superficial Temporal Artery Aneurysm (Complication of Cranioplasty): Clinical Casehttps://orcid.org/0000-0002-1115-609XКазанцевА. Н.KazantsevA. N.

Казанцев Антон Николаевич — военный врач

Anton N. Kazantsev — military doctor

dr.antonio.kazantsev@mail.ruhttps://orcid.org/0000-0001-6629-0299ХолматовВ. Н.KholmatovV. N.

Холматов Вадим Николаевич — военный врач

Vadim N. Kholmatov — military doctor

https://orcid.org/0000-0002-2478-9187ТенишевР. Р.TenishevR. R.

Тенишев Рамиль Раисович — военный врач

Ramil R. Tenishev — military doctor

https://orcid.org/0000-0003-4465-8245ПавленкоН. А.PavlenkoN. A.

Павленко Николай Александрович — военный врач

Nikolay A. Pavlenko — military doctor

36 отдельный медицинский отряд (аэромобильный) воздушно-десантных войск Министерства обороны Российской ФедерацииРоссия36th Separate Medical Detachment (Airmobile) of the Airborne Troops of the Ministry of Defense of the Russian FederationRussian Federation2026090420261619095Copyright © Казанцев А.Н., Холматов В.Н., Тенишев Р.Р., Павленко Н.А., 20262026Казанцев А.Н., Холматов В.Н., Тенишев Р.Р., Павленко Н.А.Kazantsev A.N., Kholmatov V.N., Tenishev R.R., Pavlenko N.A.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.surgonco.ru/jour/article/view/1183Введение

Введение. В статье представлен уникальный клинический случай редкого сосудистого осложнения, развившегося после краниопластики. Цель: продемонстрировать успешный опыт хирургического лечения аневризмы поверхностной височной артерии (ПВА), возникшей как осложнение после краниопластики.

Материалы и методы

Материалы и методы. Описано лечение пациента 60 лет, у которого через месяц после удаления внутримозговой гематомы и краниопластики сформировалась пульсирующая болезненная аневризма ПВА диаметром 5 см, подтвержденная КТ-ангиографией. Выполнена экстренная открытая аневризмэктомия под эндотрахеальным наркозом с перевязкой артерии и иссечением аневризматического мешка.

Результаты и обсуждение

Результаты и обсуждение. Послеоперационный период протекал без осложнений, пациент выписан на 7-е сутки. Авторы предполагают, что причиной аневризмы стала интраоперационная травма артерии. Обсуждается редкость подобного осложнения, выраженный болевой синдром и риск разрыва как показания к экстренному открытому вмешательству, несмотря на потенциальную возможность эндоваскулярного лечения.

Заключение

Заключение. Открытое хирургическое удаление аневризмы поверхностной височной артерии продемонстрировало свою эффективность и безопасность в лечении данного редкого осложнения краниопластики.

Introduction

Introduction. This article presents a rare vascular complication that developed after cranioplasty. Aim. This study aims to describe the successful surgical treatment of a superficial temporal artery (STA) aneurysm that arose as a complication of cranioplasty.

Materials and methods

Materials and methods. A 60-year-old patient developed a painful, pulsatile 5-cm STA aneurysm one month after evacuation of an intracerebral hematoma followed by cranioplasty. The diagnosis was confirmed by computed tomography angiography (CTA). Emergency open aneurysmectomy was performed under endotracheal anesthesia, with arterial ligation and resection of the aneurysmal sac.

Results and discussion

Results and discussion. The postoperative course was uneventful, and the patient was discharged on postoperative day 7. Aneurysm formation was attributed to intraoperative arterial injury during the preceding procedure. This complication is exceedingly rare. Severe pain and the risk of rupture constituted clear indications for urgent open surgery, despite the theoretical feasibility of endovascular treatment.

Conclusion

Conclusion. Open surgical resection of a superficial temporal artery aneurysm proved to be an effective and safe treatment for this rare complication of cranioplasty.

аневризма поверхностной височной артериикраниопластикапослеоперационные осложнениявнутримозговая гематомаинтраоперационные осложненияsuperficial temporal artery aneurysmcranioplastypostoperative complicationsintracerebral hematomaintraoperative complicationsReferencesШабаев А.Р., Казанцев А.Н., Миронов А.В., Рубан Е.В. Хирургическое лечение протоплазматической астроцитомы Сильвиева водопровода с распространением на задний отдел третьего желудочка. Хирургия. Журнал им. Н.И. Пирогова. 2019;2:82–8. DOI: 10.17116/hirurgia201902182Shabaev A.R., Kazantsev A.N., Mironov A.V., Ruban E.V. Surgical treatment of protoplasmic astrocytoma of the aqueduct of Sylvius with extension to the posterior part of the third ventricle. Pirogov Russian Journal of Surgery. 2019;2:82–8 (In Russ.). DOI: 10.17116/hirurgia201902182Шабаев А.Р., Казанцев А.Н., Тарасов Р.С., Рубан Е.В., Лидер Р.Ю., Яхнис Е.Я. и др. Хирургическое лечение больного с мешотчатой артериальной аневризмой кавернозно-офтальмического сегмента. Ангиология и сосудистая хирургия. Журнал им. академика А.В. Покровского. 2019;25(4):131–8. DOI: 10.33529/ANGIO2019412Shabaev A.R., Kazantsev A.N., Tarasov R.S., Ruban E.V., Leader R.Yu., Yakhnis E.Ya., et al. Surgical treatment of a patient with a saccular arterial aneurysm of the cavernous-ophthalmic segment. Angiology and vascular surgery. Journal named after Academician A.V. Pokrovsky. 2019;25(4):131–8 (In Russ.). DOI: 10.33529/ANGIO2019412Казанцев А.Н., Бурков Н.Н., Ануфриев А.И., Рубан Е.В., Тарасов Р.С. Хирургическое лечение пациента с фибромускулярной дисплазией третьего типа и гигантской аневризмой экстракраниального отдела внутренней сонной артерии. Комплексные проблемы сердечно-сосудистых заболеваний. 2017;6(2):127–30. DOI: 10.17802/2306-1278-2017-2-127-130Kazantsev A.N., Burkov N.N., Anufriev A.I., Ruban E.V., Tarasov R.S. Surgical treatment of a patient with fibromuscular dysplasia type 3 and a giant aneurysm of the extracranial internal carotid artery. Complex problems of cardiovascular diseases. 2017;6(2):127–30 (In Russ.). DOI: 10.17802/2306-1278-2017-2-127-130Казанцев А.Н., Бурков Н.Н., Лидер Р.Ю., Астафурова О.Э. Резекция аневризмы общей сонной артерии у пациента спустя шесть лет после каротидной эндартерэктомии. Хирургия. Журнал им. Н.И. Пирогова. 2019;9:86–9. DOI: 10.17116/hirurgia201909186Kazantsev A.N., Burkov N.N., Leader R.Yu., Astafurova O.E. Resection of a common carotid artery aneurysm in a patient six years after carotid endarterectomy. Pirogov Russian Journal of Surgery. 2019;9:86–9 (In Russ.). DOI: 10.17116/hirurgia201909186Sahoo N.K., Tomar K., Thakral A., Rangan N.M. Complications of Cranioplasty. J Craniofac Surg. 2018;29(5):1344–8. DOI: 10.1097/sCS.0000000000004478Sahoo N.K., Tomar K., Thakral A., Rangan N.M. Complications of Cranioplasty. J Craniofac Surg. 2018;29(5):1344–8. DOI: 10.1097/sCS.0000000000004478Yao P., Qian Z., Ji R., Wang K. The effect of cranioplasty on cerebrospinal fluid dynamics in the cerebral aqueduct. J Korean Neurosurg Soc. 2026 Jan 21. DOI: 10.3340/jkns.2025.0239Yao P., Qian Z., Ji R., Wang K. The effect of cranioplasty on cerebrospinal fluid dynamics in the cerebral aqueduct. J Korean Neurosurg Soc. 2026 Jan 21. DOI: 10.3340/jkns.2025.0239Alkhaibary A., Alharbi A., Alnefaie N., Oqalaa Almubarak A., Aloraidi A., Khairy S. Cranioplasty: a comprehensive review of the history, materials, surgical aspects, and complications. World Neurosurg. 2020;139:445–52. DOI: 10.1016/j.wneu.2020.04.211Alkhaibary A., Alharbi A., Alnefaie N., Oqalaa Almubarak A., Aloraidi A., Khairy S. Cranioplasty: a comprehensive review of the history, materials, surgical aspects, and complications. World Neurosurg. 2020;139:445–52. DOI: 10.1016/j.wneu.2020.04.211Shepetovsky D., Mezzini G., Magrassi L. Complications of cranioplasty in relationship to traumatic brain injury: a systematic review and meta-analysis. Neurosurg Rev. 2021;44(6):3125–42. DOI: 10.1007/s10143-021-01511-7Shepetovsky D., Mezzini G., Magrassi L. Complications of cranioplasty in relationship to traumatic brain injury: a systematic review and meta-analysis. Neurosurg Rev. 2021;44(6):3125–42. DOI: 10.1007/s10143-021-01511-7Williams L.R., Fan K.F., Bentley R.P. Custom-made titanium cranioplasty: early and late complications of 151 cranioplasties and review of the literature. Int J Oral Maxillofac Surg. 2015;44(5):599–608. DOI: 10.1016/j.ijom.2014.09.006Williams L.R., Fan K.F., Bentley R.P. Custom-made titanium cranioplasty: early and late complications of 151 cranioplasties and review of the literature. Int J Oral Maxillofac Surg. 2015;44(5):599–608. DOI: 10.1016/j.ijom.2014.09.006Hanko M., Cmarkova K., Hanzel R., Snopko P., Opsenak R., Kolarovszki B. Analysis of clinical efficiency and early postoperative complications after cranioplasty. Bratisl Lek Listy. 2021;122(7):461–8. DOI: 10.4149/BLL_2021_076Hanko M., Cmarkova K., Hanzel R., Snopko P., Opsenak R., Kolarovszki B. Analysis of clinical efficiency and early postoperative complications after cranioplasty. Bratisl Lek Listy. 2021;122(7):461–8. DOI: 10.4149/BLL_2021_076Shie C.S.M., Antony D., Thien A. Outcomes and Associated complications of cranioplasty following craniectomy in Brunei Darussalam. Asian J Neurosurg. 2022;17(3):423–8. DOI: 10.1055/s-0042-1751007Shie C.S.M., Antony D., Thien A. Outcomes and Associated complications of cranioplasty following craniectomy in Brunei Darussalam. Asian J Neurosurg. 2022;17(3):423–8. DOI: 10.1055/s-0042-1751007Shay T., Belzberg M., Asemota A.O., Mitchell K.A., Wolff A., Santiago G.F., et al. Risk of complications in primary versus revision-type cranioplasty. J Craniofac Surg. 2020;31(2):423–7. DOI: 10.1097/SCS.0000000000006134Shay T., Belzberg M., Asemota A.O., Mitchell K.A., Wolff A., Santiago G.F., et al. Risk of complications in primary versus revision-type cranioplasty. J Craniofac Surg. 2020;31(2):423–7. DOI: 10.1097/SCS.0000000000006134Chasles O.G., Kokot K., Fercho J., Siemiński M., Szmuda T. Comparison of complications in early and late cranioplasty following decompressive craniectomy due to traumatic brain injury: systematic review and meta-analysis. J Clin Med. 2025;14(12):4176. DOI: 10.3390/jcm14124176Chasles O.G., Kokot K., Fercho J., Siemiński M., Szmuda T. Comparison of complications in early and late cranioplasty following decompressive craniectomy due to traumatic brain injury: systematic review and meta-analysis. J Clin Med. 2025;14(12):4176. DOI: 10.3390/jcm14124176Goedemans T., Verbaan D., van der Veer O., Bot M., Post R., Hoogmoed J., et al. Complications in cranioplasty after decompressive craniectomy: timing of the intervention. J Neurol. 2020;267(5):1312–20. DOI: 10.1007/s00415-020-09695-6Goedemans T., Verbaan D., van der Veer O., Bot M., Post R., Hoogmoed J., et al. Complications in cranioplasty after decompressive craniectomy: timing of the intervention. J Neurol. 2020;267(5):1312–20. DOI: 10.1007/s00415-020-09695-6Aloraidi A., Alkhaibary A., Alharbi A., Alnefaie N., Alaglan A., AlQarni A., et al. Effect of cranioplasty timing on the functional neurological outcome and postoperative complications. Surg Neurol Int. 2021;12:264. DOI: 10.25259/SNI8022020Aloraidi A., Alkhaibary A., Alharbi A., Alnefaie N., Alaglan A., AlQarni A., et al. Effect of cranioplasty timing on the functional neurological outcome and postoperative complications. Surg Neurol Int. 2021;12:264. DOI: 10.25259/SNI8022020Birgersson U., Wettervik T.S., Sundblom J., Linder L.K.B. The role of autologous bone in cranioplasty. A systematic review of complications and risk factors by using stored bone. Acta Neurochir (Wien). 2024;166(1):438. DOI: 10.1007/s00701-024-06312-7Birgersson U., Wettervik T.S., Sundblom J., Linder L.K.B. The role of autologous bone in cranioplasty. A systematic review of complications and risk factors by using stored bone. Acta Neurochir (Wien). 2024;166(1):438. DOI: 10.1007/s00701-024-06312-7Zaed I., Faedo F., Chibbaro S., Cannizzaro D., Tomei M., Servadei F., et al. Prevalence of postoperative complications of autologous and heterologous cranioplasty in the pediatric population: a systematic review of the literature. Pediatr Neurosurg. 2022;57(4):238–44. DOI: 10.1159/000524874Zaed I., Faedo F., Chibbaro S., Cannizzaro D., Tomei M., Servadei F., et al. Prevalence of postoperative complications of autologous and heterologous cranioplasty in the pediatric population: a systematic review of the literature. Pediatr Neurosurg. 2022;57(4):238–44. DOI: 10.1159/000524874Roh H., Kim J., Kim J.H., Chong K., Yoon W.K., Kwon T.H., et al. Analysis of complications after cranioplasty with a customized three-dimensional titanium mesh plate. World Neurosurg. 2019;123:e39–44. DOI: 10.1016/j.wneu.2018.10.227Roh H., Kim J., Kim J.H., Chong K., Yoon W.K., Kwon T.H., et al. Analysis of complications after cranioplasty with a customized three-dimensional titanium mesh plate. World Neurosurg. 2019;123:e39–44. DOI: 10.1016/j.wneu.2018.10.227Yao S., Zhang Q., Mai Y., Yang H., Li Y., Zhang M., et al. Outcome and risk factors of complications after cranioplasty with polyetheretherketone and titanium mesh: A single-center retrospective study. Front Neurol. 2022;13:926436. DOI: 10.3389/fneur.2022.926436Yao S., Zhang Q., Mai Y., Yang H., Li Y., Zhang M., et al. Outcome and risk factors of complications after cranioplasty with polyetheretherketone and titanium mesh: A single-center retrospective study. Front Neurol. 2022;13:926436. DOI: 10.3389/fneur.2022.926436Hill C.S., Luoma A.M., Wilson S.R., Kitchen N. Titanium cranioplasty and the prediction of complications. Br J Neurosurg. 2012;26(6):832–7. DOI: 10.3109/02688697.2012.692839Hill C.S., Luoma A.M., Wilson S.R., Kitchen N. Titanium cranioplasty and the prediction of complications. Br J Neurosurg. 2012;26(6):832–7. DOI: 10.3109/02688697.2012.692839He Z., Ma Y., Yang C., Hui J., Mao Q., Gao G., et al. A Perioperative paradigm of cranioplasty with polyetheretherketone: comprehensive management for preventing postoperative complications. Front Surg. 2022;9:856743. DOI: 10.3389/fsurg.2022.856743He Z., Ma Y., Yang C., Hui J., Mao Q., Gao G., et al. A Perioperative paradigm of cranioplasty with polyetheretherketone: comprehensive management for preventing postoperative complications. Front Surg. 2022;9:856743. DOI: 10.3389/fsurg.2022.856743Chen L., Li J., Huang S., Ma J., Zhou L. Perioperative management and prevention of postoperative complications in patients undergoing cranioplasty with polyetheretherketone. J Plast Reconstr Aesthet Surg. 2023;84:71–8. DOI: 10.1016/j.bjps.2023.05.019Chen L., Li J., Huang S., Ma J., Zhou L. Perioperative management and prevention of postoperative complications in patients undergoing cranioplasty with polyetheretherketone. J Plast Reconstr Aesthet Surg. 2023;84:71–8. DOI: 10.1016/j.bjps.2023.05.019Yeap M.C., Tu P.H., Liu Z.H., Hsieh P.C., Liu Y.T., Lee C.Y., et al. Long-term complications of cranioplasty using stored autologous bone graft, three-dimensional polymethyl methacrylate, or titanium mesh after decompressive craniectomy: a single-center experience after 596 procedures. World Neurosurg. 2019;128:e841–50. DOI: 10.1016/j.wneu.2019.05.005Yeap M.C., Tu P.H., Liu Z.H., Hsieh P.C., Liu Y.T., Lee C.Y., et al. Long-term complications of cranioplasty using stored autologous bone graft, three-dimensional polymethyl methacrylate, or titanium mesh after decompressive craniectomy: a single-center experience after 596 procedures. World Neurosurg. 2019;128:e841–50. DOI: 10.1016/j.wneu.2019.05.005Li W., Wang B., Li T., Ma Y., Jin H., Zhao J., et al. Causal and interpretable machine learning framework for postcranioplasty risk prediction and surgical decision support. NPJ Digit Med. 2026 Jan 21. DOI: 10.1038/s41746-026-02370-6Li W., Wang B., Li T., Ma Y., Jin H., Zhao J., et al. Causal and interpretable machine learning framework for postcranioplasty risk prediction and surgical decision support. NPJ Digit Med. 2026 Jan 21. DOI: 10.1038/s41746-026-02370-6Bader E.R., Kobets A.J., Ammar A., Goodrich J.T. Factors predicting complications following cranioplasty. J Craniomaxillofac Surg. 2022;50(2):134–9. DOI: 10.1016/j.jcms.2021.08.001Bader E.R., Kobets A.J., Ammar A., Goodrich J.T. Factors predicting complications following cranioplasty. J Craniomaxillofac Surg. 2022;50(2):134–9. DOI: 10.1016/j.jcms.2021.08.001Zawy Alsofy S., Stroop R., Fusek I., Sakellaropoulou I., Lewitz M., Nakamura M., et al. Early autologous cranioplasty: complications and identification of risk factors using virtual reality visualisation technique. Br J Neurosurg. 2019;33(6):664–70. DOI: 10.1080/02688697.2019.1661962Zawy Alsofy S., Stroop R., Fusek I., Sakellaropoulou I., Lewitz M., Nakamura M., et al. Early autologous cranioplasty: complications and identification of risk factors using virtual reality visualisation technique. Br J Neurosurg. 2019;33(6):664–70. DOI: 10.1080/02688697.2019.1661962

The authors declare that there are no conflicts of interest present.