Cranioplasties: surgical reconstruction strategies

Maricevich, Pablo; Mansur, André; Peixoto, Acrysio; Amando, Julia; Pantoja, E; Braune, Andre; Nasser, José Augusto; Cruz, Ricardo Lopes da

doi:10.5935/2177-1235.2016rbcp0006

Cited by 2 publications

(5 citation statements)

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“…Some materials can be molded or shaped during surgery and others manufactured in a customized way. These materials should have some characteristics to be considered suitable: biocompatibility, compatibility with imaging exams, ease of handling and shaping, adequate resistance (bone-like) and sterilizable [9]. In craniofacial surgeries, titanium is practically the only metal used [8].…”

Section: Discussionmentioning

confidence: 99%

“…Local flaps, tissue expansion, and free flaps are alternatives to good coverage. Skin grafts do not enter into the options for cranioplastic coverage [9], since skin dehiscence, whether small or large, is sovereign because it allows the inoculation of bacteria to the underlying bony flap and / or implant, which can lead to an irreversible infection and eventual removal [4].…”

Section: Discussionmentioning

confidence: 99%

“…In large defects or irradiated areas, we should think of free flaps or tissue expansion. In graft cranioplasty, the addition of a flap of pericranium over the reconstructed area should be performed whenever possible [9]; in this report, this technique was chosen to cover the titanium mesh favoring the contour and local protection.…”

Section: Discussionmentioning

confidence: 99%

“…The approach in the most serious lesions, such as cerebrospinal fluid fistulas, orbital or optic nerve injuries, should be as a matter of urgency, and the intervention should be performed within a maximum of 3 days after the trauma to reduce the rate of late complications such as severe ocular lesions, permanent anosmia, meningitis, fistulae, cerebellar abscesses, and death [12]. However, if there is damage to the dura mater, it is considered a mild complication and should be corrected immediately as if it was with the peritoneum or pleura [9]. In this case, one year after the surgical treatment no complications were observed.…”

Section: Discussionmentioning

confidence: 99%

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Reconstruction of extensive sequel of frontal fracture: optimizing results

Nogueira

Souza²,

Menezes³

et al. 2021

BDS

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Introduction: Fractures of the frontal bone correspond to 5 to 15% of all facial fractures. This type of fracture can lead to difficulties in restoring bone congruence and to postoperative secondary aesthetic problems. Objective: This paper aims to present a clinical case report of frontal bone fracture where a late reconstruction was performed using a titanium mesh with the aid of stereolithographic model prototyping. Case report: Female patient, 26 years old, with aesthetic sequelae in the upper third of the face after a motorcycle accident. The imaging exams showed a comminuted frontal bone fracture, as well as upper edge and right orbit ceiling involvement. The planning consisted of reconstruction of the affected area with the use of a titanium mesh pre-shaped in a stereolithographic model. The procedure was performed under general anesthesia and coronal access. After installation of the fixation material, pericranial flap rotation and suture of the surgical wound were performed. The patient progressed well, with considerable improvement in facial aesthetics. Conclusion: This paper reports the importance of good planning in cases of frontal bone fracture sequel, in which the use of model-shaped mesh in a stereolithographic model tends to optimize surgery, bringing aesthetic and psychosocial benefits. Keywords Frontal bone; Titanium; Craniocerebral trauma.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Reconstruction of extensive sequel of frontal fracture: optimizing results

Nogueira

Souza²,

Menezes³

et al. 2021

BDS

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show abstract

“…Essa complexidade exige habilidades e materiais cirúrgicos de alta qualidade. Diversos fatores, como trauma, sequelas de intervenções neurocirúrgicas, malformações congênitas, neoplasias, radioterapia e infecções, podem contribuir para defeitos no crânio (MARICEVICH, 2016).…”

Section: Referências Bibliográficasunclassified

4º Congresso Brasileiro de Pesquisa e Desenvolvimento em Tecnologia Assistiva - CBTA

2024

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O 4º Congresso Brasileiro de Pesquisa e Desenvolvimento de Tecnologia Assistiva (CBTA 2023) foi realizado de 06 a 10 de novembro de 2023, no Centro de Convenções do Hotel Canasvieiras Inn, em Florianópolis, Santa Catarina. Os CBTAs são ações da RPDTA (Rede de Pesquisa e Desenvolvimento em Tecnologia Assistiva: ações integradas entre Engenharia Mecânica e Design), que congrega pesquisadores da UFPR, UFSC, UTFPR, UNESP-Bauru e da UDESC. Os CBTAs reúnem profissionais com interesse nas pesquisas em Tecnologia Assistiva, oriundos de diversas áreas, tais como: design, engenharia, educação, saúde, ergonomia, tecnologia da informação, entre outras. Nesta quarta edição, o congresso focou nas pesquisas em educação especial na perspectiva inclusiva, por meio da estimulação precoce e da reabilitação. O evento ofereceu palestras plenárias ministradas por pesquisadores nacionais e internacionais, mesas-redondas, sessões técnicas com apresentação oral dos trabalhos, oficinas práticas e workshops que proporcionaram vivências e o diálogo com pessoas com deficiência.

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Cranioplasties: surgical reconstruction strategies

Cited by 2 publications

References 0 publications

Reconstruction of extensive sequel of frontal fracture: optimizing results

Reconstruction of extensive sequel of frontal fracture: optimizing results

4º Congresso Brasileiro de Pesquisa e Desenvolvimento em Tecnologia Assistiva - CBTA

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