Cranioplasty for Skull Defect With Polypropylene Abdominal Wall Mesh

Abuzayed, Bashar; Al-Abadi, Husesein; Jamous, Osama; Said, Anas; Alawneh, Khaled

doi:10.1097/scs.0000000000006923

Cited by 2 publications

(9 citation statements)

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“…In this series, we did not place drains intraoperatively in any case and no case showed postoperative collection. Also, in cases of wound infection, treatment can be applied with intravenous antibiotics without the need for mesh removal 3. This was the case in one of our cases.…”

Section: Discussionmentioning

confidence: 85%

“…In the presented cases, we used polypropylene mesh as cranioplasty material for small-sized and medium-sized bone defects in the skull after craniectomy for compound skull fractures. The authors had published the use of polypropylene mesh cranioplasty previously as case report, with the conclusion of the need for more large number of patients and more extended follow-up periods to confirm the feasibility of polypropylene mesh application for cranioplasty 3. In this study we investigated the use of this technique upon 9 patients.…”

Section: Discussionmentioning

confidence: 99%

“…The authors had published the use of polypropylene mesh cranioplasty previously as case report, with the conclusion of the need for more large number of patients and more extended follow-up periods to confirm the feasibility of polypropylene mesh application for cranioplasty. 3 In this study we investigated the use of this technique upon 9 patients. The use of the polypropylene mesh in cranioplasty showed clinical success with no seroma collection or cranial complications in the follow-up period ranged from 4 to 13 months.…”

Section: Discussionmentioning

confidence: 99%

“…Because of the soft flexibility nature of the polypropelene mesh it is not able to grant hard support and protection against head traumas in cases of large defects. Moreover, the intense inflammation and extensive fibrosis formation around the mesh lead to excessive adherence to the dura, which has increased the risk of bleeding in the cases where wound re-exploration are indicated 3,8. Thus, we recommend that polypropylene mesh may be an option for the reconstruction of small-sized or medium-sized cranial defects in rural practice, in situations when other materials are not available.…”

Section: Discussionmentioning

confidence: 99%

“…In such cases, allografts, such as metal, hydroxyapatite, or porous polyethylene might be used for skull defect reconstruction. 1,3 In this study, we present our series and surgical technique for cranioplasty after compound skull fracture reconstruction with polypropylene mesh cranioplasty, a material which is widely used and available in abdominal wall closure. These patients were admitted to a periphery general hospital.…”

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confidence: 99%

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Cranioplasty for Skull Defects With Polypropylene Abdominal Wall Mesh

Abuzayed¹,

Rawagah²,

Alrashdan³

et al. 2022

Journal of Craniofacial Surgery

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Objective: Cranioplasty is a well-established common surgery in the practice of neurosurgery and craniofacial surgery. In young patients, complete skull defect closure by bone splitting may be troublesome due to the difficulty to obtain enough bone area. In such cases, sometimes the authors need to use allografts, which may not be widely available in rural practice. In this study, the authors present the series of cranioplasty with polypropylene mesh, which is widely used in abdominal wall closure. Patients and Methods: Nine patients with depressed compound skull fracture were treated by performing this technique. Selection criteria were: compound depressed skull fractures in which bones were fragmented in a way not able to be reconstructed with and leaving a skull defect, small-sized or relatively medium-sized skull defects, and skull defects not located on the sharp curvatures of the skull which needs firm bended meshes. All patients were male and their ages ranged between 8 months and 36 years. The skull bone defect was reconstructed with polypropylene abdominal wall mesh, which was sutured circumferentially with the galeal tissue. Results: Skull defects were successfully treated in all patients. The follow-up period ranged from 4 to 13 months. One patient with a history of alcoholism and neglectance developed a wound infection after 3 weeks of surgery. This patient was treated successfully with intravenous antibiotics without the need to remove the mesh. There were no complications in the remaining 8 patients. Conclusions: Polypropylene mesh is a cheap and effective material for the reconstruction of small-sized or medium-sized skull defects. It can be a good alternative in rural practice and/or low economic communities, when other cranioplasty materials are not available.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Cranioplasty for Skull Defects With Polypropylene Abdominal Wall Mesh

Abuzayed¹,

Rawagah²,

Alrashdan³

et al. 2022

Journal of Craniofacial Surgery

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Technology for Replacement of Skull Bone Defects Using Allo- And Xenotransplants as a Support for Regenerate Formation

Diachkov,

Soldatov,

Gorbach

et al. 2023

НО МН (SR MS)

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В исследовании выполнена оценка возможности применения технологии замещения дефектов костей свода черепа с использованием алло-и ксенотрансплантатов в качестве опоры для формирования дистракционного регенерата. Эксперимент выполнен на 18 взрослых беспородных собаках обоего пола в возрасте 1,5-2 лет. Аллогенный материал (бугристость большеберцовой кости) получали от беспородных собак, ксеногенный материал (фрагменты мыщелков бедренной кости) -от кроликов. Материал консервировали в 10%-ном растворе формалина и хранили при 4-8°С до применения. На голову собаки накладывали кольцо аппарата Илизарова, резецировали участок костей свода черепа слева или в центральной части свода и к заднему краю полученного дефекта подсоединяли один из трансплантатов, фиксируя его двумя тракционнонаправляющими спицами, позволяющими удерживать в дефекте и дозированно перемещать трансплантат. Концы тракционно-направляющих спиц крепили на кольце в его каудальной и краниальной частях. Перемещение трансплантата осуществляли с помощью тракционной системы, устанавливаемой в передней части кольца. Начинали перемещение на 14-й день после операции с темпом 0,5 мм в сутки. В группе 1 (n=9) использовали материал аллогенного происхождения, в группе 2 (n=9) -ксеногенного происхождения. Проведенное исследование показало, что при дозированном перемещении подготовленных алло-и ксенотрансплантатов дефект костей свода черепа может замещаться полноценной костной тканью. Случаев отторжения и инфицирования материала не было. Технология замещения дефектов костей свода черепа, включающая использование алло-и ксенотрансплантатов в качестве опоры для формирования в дефектах костей свода черепа дистракционного регенерата, может быть эффективна для целевого применения.

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Cranioplasty for Skull Defect With Polypropylene Abdominal Wall Mesh

Cited by 2 publications

References 5 publications

Cranioplasty for Skull Defects With Polypropylene Abdominal Wall Mesh

Cranioplasty for Skull Defects With Polypropylene Abdominal Wall Mesh

Technology for Replacement of Skull Bone Defects Using Allo- And Xenotransplants as a Support for Regenerate Formation

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