Prevention of Thermal Tissue Injury Induced by the Application of Polymethylmethacrylate to the Calvarium

Stelnicki, Eric J.; Ousterhout, Douglas K.

doi:10.1097/00001665-199605000-00006

Cited by 32 publications

(23 citation statements)

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“…Hydroxyapatite bone cement, at the other hand, is suitable but is costly. Several other alloplastic biocompatible materials (Constantino et al, 1991;Stelnicki and Ousterhout, 1996) or complicated methods with doubtful long-term clinical results (Romano et al, 1993;Wong et al, 2002) have also been reported in the literature, but they failed to be wildly used.…”

Section: Reconstruction Of the Donor-site Tissue Defectmentioning

confidence: 99%

Functional and aesthetic reconstruction of extensive oral ablative defects using temporalis muscle flap: A case report and a sort review

Michaelidis

Hatzistefanou

2011

Journal of Cranio-Maxillofacial Surgery

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Section: Reconstruction Of the Donor-site Tissue Defectmentioning

confidence: 99%

Functional and aesthetic reconstruction of extensive oral ablative defects using temporalis muscle flap: A case report and a sort review

Michaelidis

Hatzistefanou

2011

Journal of Cranio-Maxillofacial Surgery

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“…18 With onlay onto normal cranial bone structure, heat is not conducted into the cranium interior, so there is no danger of dural necrosis. 19,20 However, bone necrosis can occur where the bone is in direct contact with the high temperature methyl methacrylate.…”

Section: Discussionmentioning

confidence: 99%

“…The reported research data varies, but bone necrosis may occur at temperatures above 60Y70-C. Because heating increases with the amount of methyl methacrylate used, it is important that the thickness of methyl methacrylate must be restricted to under 5Y6 mm, and the temperature must be controlled by cooling with cold normal saline irrigation. 18,21,22 In the procedures reported in this study, the author kept the thickness of the methyl methacrylate implant under 5 mm. In addition, during polymerization, ample irrigation using cold normal saline colder than 4-C was used to prevent bone necrosis due to heating from the exothermic reaction.…”

Section: Discussionmentioning

confidence: 99%

Using Methyl Methacrylate in Forehead Contouring for Aesthetic Purposes

Song¹

2013

Journal of Craniofacial Surgery

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Various methods using autologous bone grafts or alloplastic implants have been reported for the contouring of flat or depressed foreheads; the majority of these reports deal with correction of cranial deformities arising from injuries or congenital conditions. These methods all require relatively or quite invasive procedures. However, it is of course desirable if cosmetic surgery can be performed with minimally invasive procedures. The author presents an outpatient procedure using methyl methacrylate for aesthetic forehead contouring. From January 2006 to November 2012, 210 patients underwent methyl methacrylate forehead augmentation on an all outpatient basis. Under only local anesthesia, a V-shaped transverse scalp incision (5 cm length) was made behind the front hair line, followed by subperiosteal dissection of the skin covering the forehead. Methyl methacrylate was inserted and manually molded to the desired contour through the skin. The amount of methyl methacrylate used ranged from 10 to 40 mL, with a mean of 25 mL, depending on the size and shape. The follow-up period ranged from 3 months to 6 years, averaging 45 months, and with the exception of a very small percentage, all patients were satisfied with the results. Based on these results, the author concludes that aesthetic forehead augmentation using methyl methacrylate is an effective surgical procedure with minimal side effects and a high degree of patient satisfaction.

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“…The risk of thermal damage to the underlying dura during curing of the material 5) has made surgeons hesitate to plug deeply. Therefore, some patients developed objectionable bulges attributable to displacement of the filler (Fig.…”

Section: Discussionmentioning

confidence: 99%

Anchoring of Methylmethacrylate Filler to the Calvarium -Technical Note-

Shimizu¹,

Kawasaki²,

Yamazaki³

et al. 2011

Neurol. Med. Chir.(Tokyo)

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Implanted methylmethacrylate may be unexpectedly displaced due to poor adherence to the bone. We developed a simple technique to fix the material plugging the burr holes for use primarily in cosmetically important areas. At the closure of craniotomy, 2-3 small drill holes are made at the rim of the craniotomy burr hole. To address cranial defects in the pterional region, small holes are placed on the bone surface around the key burr hole. The holes extend into the diploic layer and have no parallel relationship. After fixation of the bone flap, a methylmethacrylate filler mixture is manually plugged into the burr hole and pushed into the small holes, thereby forming horns for secure fixation. None among over 100 patients developed an objectionable bulge attributable to displacement of the filler. Our technique requires no special instruments or materials and decreases the risk of cosmetic problems.

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Prevention of Thermal Tissue Injury Induced by the Application of Polymethylmethacrylate to the Calvarium

Cited by 32 publications

References 0 publications

Functional and aesthetic reconstruction of extensive oral ablative defects using temporalis muscle flap: A case report and a sort review

Functional and aesthetic reconstruction of extensive oral ablative defects using temporalis muscle flap: A case report and a sort review

Using Methyl Methacrylate in Forehead Contouring for Aesthetic Purposes

Anchoring of Methylmethacrylate Filler to the Calvarium -Technical Note-

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