Paediatric cranioplasty: A review

Salam, Anooja Abdul; Ibbett, Imogen; Thani, Nova

doi:10.1016/j.inat.2018.03.004

Cited by 16 publications

(29 citation statements)

References 33 publications

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“…1 They show good success rates and minimal complications for patients up to 22 years of age. 1 In large skull defects of more than 3 cm in the 11+ age group, titanium is the most commonly preferred material, followed by MMA and HA. The literature supports safe use of custom-made HA and titanium in children above 7 years of age.…”

Section: Discussionmentioning

confidence: 97%

“…1 It was concluded that particulate bone grafts or exchange cranioplasty were commonly used in infants. 1 In older children, custom-made implants using titanium or hydroxyapatite were more frequently used. 1 However, the conclusion from the review was that there was not enough evidence to recommend an ideal pediatric cranioplasty material for all age groups.…”

Section: Introductionmentioning

confidence: 99%

“…1 In older children, custom-made implants using titanium or hydroxyapatite were more frequently used. 1 However, the conclusion from the review was that there was not enough evidence to recommend an ideal pediatric cranioplasty material for all age groups. 1 All the existing studies have very small sample sizes, which makes it difficult to develop an age-based protocol for pediatric patients.…”

Section: Introductionmentioning

confidence: 99%

“…1 However, the conclusion from the review was that there was not enough evidence to recommend an ideal pediatric cranioplasty material for all age groups. 1 All the existing studies have very small sample sizes, which makes it difficult to develop an age-based protocol for pediatric patients. Hence, we conducted a survey to explore the current practice among the neurosurgeons in Australia and New Zealand.…”

Section: Introductionmentioning

confidence: 99%

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Material of Choice in Pediatric Cranioplasty

Salam

Ibbett

Thani

2021

Indian Journal of Neurosurgery

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Background Current evidence is lacking regarding the optimum material required for cranioplasty in the pediatric population when native bone cannot be replaced. The aim of our survey was to examine current practice in Australia and New Zealand regarding pediatric cranioplasty material. Methods The online tool SurveyMonkey was used to survey 244 neurosurgeons in Australasia. The survey consisted of five questions concerning preference of material and donor origin for pediatric cranioplasty. Results Twenty-two neurosurgeons (9%) participated. The results indicate that with small skull defects (< 3 cm) in patients aged 0 to 2years, conservative management with observation alone is the preferred option (65%). In patients aged 3 to 10 years, autologous donor bone was the most popular option, whereas for 11+ years, hydroxyapatite (HA) was the material of choice, followed by titanium. For defects of more than 3 cm, autologous donor bone was preferred in under 11 years. In patients older than 11 years, titanium was the preferred choice (46.67%). The preferred donor origin for autologous cranioplasty in small skull defects (< 3 cm) was split calvarial grafts for all age groups. However, 68.42% of respondents managed those under 2 years conservatively. In large skull defects (> 3 cm), the preferred donor origin was split calvarial grafts for patients older than 3 years (48.3%). In patients aged 0 to 2 years, exchange cranioplasty was the preferred option when cranioplasty was performed. Conclusion The current practice in Australia and New Zealand is to use autologous donor bone in preference to synthetic materials for cranioplasty in children under 11 years. In children older than 11 years, hydroxyapatite and titanium are the materials of choice.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Material of Choice in Pediatric Cranioplasty

Salam

Ibbett

Thani

2021

Indian Journal of Neurosurgery

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“…1,2 Autogenous cranioplasty with calvarial bone grafts for pediatric calvarial defects provides the optimal results in terms of biocompatibility and accommodating growth. 3 The advantages of using autologous bone graft include biocompatibility, strength, elasticity, easy availability, and marked resistance to infection compared with alloplastic prostheses. Furthermore, autogenous grafts accommodate a rapidly growing brain, promote osteoconduction, osteoinduction, and osteogenesis, and are therefore preferred over alloplastic materials in pediatric populations.…”

Section: Introductionmentioning

confidence: 99%