Cranioplasty for repair of a large bone defect in a growing skull fracture in children

Vignes, Jean‐Rodolphe; Jeelani, Owase; Dautheribes, M.; San-Galli, F.; Liguoro, Dominique

doi:10.1016/j.jcms.2007.04.002

Cited by 32 publications

(22 citation statements)

References 20 publications

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“…The same pulsative action affects the bony edges of the defect and forces their outgrowth with resultant noticeable calvarial deformity. 15,16 The combination of bony edges' outgrowth and the stretched underlying dura to the skull base 17 results in dural defect greater than the bone defect, as the dural margins are stretched more peripherally from the defect.…”

Section: Discussionmentioning

confidence: 99%

“…Many techniques for repairing these defects were well reported, 3,6,11 with numerous materials described for cranioplasty, such as allografts, 12 acrylic 13 or acrylic mixed with hydroxyapatite, 14 and metal mashes. 15 In this report, the authors aimed to share their experience in the surgical management of GSF and introduce their novel reconstruction technique with in situ galeal graft and Medpor (Porex Surgical Inc., Newnan, GA) performed on 8 patients.…”

mentioning

confidence: 99%

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Reconstruction of Growing Skull Fracture With In Situ Galeal Graft Duraplasty and Porous Polyethylene Sheet

Abuzayed

Tüzgen

Canbaz

et al. 2009

Journal of Craniofacial Surgery

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Reconstruction of Growing Skull Fracture With In Situ Galeal Graft Duraplasty and Porous Polyethylene Sheet

Abuzayed

Tüzgen

Canbaz

et al. 2009

Journal of Craniofacial Surgery

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“…The critical age for growing scalp defect is 6 to 12 months, when the most active phase of brain growth occurs, causing a fracture in the thin skull to enlarge. 10 The brain presses the skull, preventing osteoblasts from migrating to the fracture site and resulting in inhibited healing. Resorption of the adjacent bone by continuous pressure from tissue herniation through the bone gap adds to the progression of the fracture line.…”

Section: Discussionmentioning

confidence: 99%

Complication of Full-Thickness Calvarial Burn in an Infant

Egozi

Maor²,

Ullmann³

2011

Journal of Burn Care & Research

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Calvarial burns are rare and represent a treatment challenge with a high risk for complications. Although scalp burns may be reconstructed by methods such as skin grafting and tissue expansion, deeper burns with involvement of the underlying bone require more advanced techniques such as prosthetic or autologic cranioplasty and cutaneous coverage using soft tissue transfer. This is a report of a rare case of a 5-month-old boy who presented with severe second-, third-, and fourth-degree burns involving parts of his face, scalp, and hands (∼15% TBSA). Because of the extensive damage, debridement of the soft necrotic tissues of the scalp, a right frontal bone craniectomy, and removal of the underlying dura were performed. To reconstruct the dura, a periosteal graft was used, and a large, posteriorly based pedicled fasciocutaneous scalp flap was transposed to cover the defect of the scalp and forehead. Postoperatively, the child developed an unusual sequella of a growing skull defect, presented by a bulging frontal lobe through the bone defect, which produced a cranial deformity, signs of raised intracranial pressure, and resulting altered neurological status. To relieve the pressure, a ventriculoperitoneal shunt was inserted. Later, cranioplasty using alloplastic material (methyl methacrylate) was performed. Further reconstructive surgeries were subsequently performed to improve the child's appearance and functioning. A 5-year follow-up after the burn revealed that the patient demonstrated no gross or fine motor skill deficits or any gross behavioral impairment.

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“…[5,6] GSFs might cause progressive widening of the fracture, herniation of the leptomeninges, and ultimately, herniation of the underlying brain parenchyma. [7][8][9] Left untreated, they might cause delayed-onset neurologic deficits, seizures, headache, and cranial asymmetry. For these reasons, early diagnosis and prompt management are essential.…”

Section: Introductionmentioning

confidence: 99%

“…Linear fracture is often neglected by both parents and physicians. [6][7][8][9][10][11][12] In this report, we aim to share our experience in early diagnosis and treatment of GSFs.…”

Section: Introductionmentioning

confidence: 99%