Single-Piece Titanium Plate Cranioplasty Reconstruction of Complex Defects

Luo, Joseph; Morrison, David A.; Hayes, Alex; Bala, Arul; Watts, Gertrude

doi:10.1097/scs.0000000000004311

Cited by 12 publications

(7 citation statements)

References 15 publications

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“…Cranioplasty success relies in part on defect size, location, and patient comorbidities, but it also relies on the reconstructive method . The optimal material for cranioplasty is the one that is inexpensive and readily available, biocompatible, non‐thermoconducive, radio‐lucent, and light and malleable yet strong enough to withstand pressure overtime . Unfortunately, no single material perfectly fits these criteria to be a surgically and aesthetically desirable implant.…”

Section: Introductionmentioning

confidence: 99%

“…Unfortunately, no single material perfectly fits these criteria to be a surgically and aesthetically desirable implant. The gold‐standard material for cranioplasty has been autologous bone, however, this adds donor site morbidity and is susceptible to bone resorption over time . Furthermore, recreation of the natural contour of the skull can be difficult with autologous sources, and there may be insufficient volume of autologous bone for reconstruction of larger defects.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, recreation of the natural contour of the skull can be difficult with autologous sources, and there may be insufficient volume of autologous bone for reconstruction of larger defects. Multiple alloplastic materials have been developed and refined for skull reconstruction such as hydroxyapatite, polymethyl methacrylate (PMMA), polyetherethereketone (PEEK), and titanium mesh …”

Section: Introductionmentioning

confidence: 99%

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Progressive Scalp Thinning Over Mesh Cranioplasty and the Role of Lipotransfer

et al. 2019

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Objectives To evaluate the role of lipotransfer in progressive scalp thinning following titanium mesh cranioplasty. Methods Retrospective review of single surgeon, single tertiary referral experience of all patients who underwent mesh cranioplasty. Patient demographics, prior radiotherapy, frequency and timing of scalp thinning, and treatment course data were obtained. Results A total of 144 patients were included, 77 male and 67 female with mean ages 58.2 and 54.8, respectively. One hundred four patients (72%) developed mesh exposure or impending exposure requiring reconstruction. Fifty‐six patients (54%) with scalp thinning were treated with lipotransfer, 40 of which were salvaged and the remainder of these patients definitively managed with cranioplasty and reconstruction. Prior radiotherapy was found to be associated with higher rates of mesh exposure (P = .0028), but not predictive of response to lipotransfer. Conclusion Lipotransfer is a useful technique in managing moderate scalp thinning following mesh cranioplasty. Mesh exposure or severe thinning require definitive cranioplasty and reconstruction. Level of Evidence IV Laryngoscope, 130: 1926–1931, 2020

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Progressive Scalp Thinning Over Mesh Cranioplasty and the Role of Lipotransfer

et al. 2019

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“…The complex individual frontal contour and orbital roof connection along with the obvious contra-lateral side contour to compare, offered a great difficulty to attain the exact duplication by the surgeons. The conventional and manual symmetric precise reconstruction of the craniofacial defects remains a tricky issue for all the surgeons (5) .…”

Section: Introductionmentioning

confidence: 99%

Computer-guided frontal bone defect reconstruction using customized three dimensional PEEK-PSI

Shindy

Amr

Hatem

2018

Egyptian Dental Journal

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“…In fact, CCI’s have been shown to improve cosmesis, decrease operative time and enhance patient satisfaction in multiple studies, by achieving ideal contour and restoration of deformed areas with complex anatomy, such as the spheno-orbital and temporal regions. 7,8,9…”

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confidence: 99%

Cranioplasty With Customized Craniofacial Implants and Intraoperative Resizing for Single-Stage Reconstruction Following Oncologic Resection of Skull Neoplasms

Ben-Shalom

Asemota

Belzberg

et al. 2022

Journal of Craniofacial Surgery

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Background: Craniectomies requiring skull reconstruction are indicated following oncological resection of masses involving the underlying brain and/or skull. Immediate cranioplasties have previously been performed using suboptimal hand-bending or molding techniques using "offtheshelf" products. Today with computeraided design, customized craniofacial implants have become widely available for personalized reconstruction of resected bone and soft tissue. We present here the largest series to date of single stage reconstruction using alloplastic biomaterials in consecutive patient series with oversized customized implants. Methods: A single-surgeon, retrospective, 8-year study was conducted on all consecutive patients undergoing single stage cranioplasty with prefabricated implants using a myriad of biomaterials. All outcomes were analyzed in detail and compared with previous studies utilizing similar alloplastic implants. Results: In total, 56 patients underwent resection of skull neoplasms and subsequent cranioplasty reconstruction using customized implants. The most common neoplasms were meningiomas (39%). The most common complications seen among patients were dehiscence -(7%), and extrusion of implant -(3.5%). There was no significant difference in the incidence of postoperative complications between patients who had postoperative chemotherapy/radiotherapy versus those that did not (22.2% versus 13.1%, P = 0.39). One-year follow-up revealed acceptable cranial contour and symmetry in all 56 cases.Conclusions: This is a consecutive case series of prefabricated single-stage cranioplasty, following resection of brain tumors with bone extension or skull bone neoplasm, demonstrating excellent results with regards to safety and patient satisfaction. There are several advantages such as comprehensive resection and reconstruction plan using 3D models, shorter operative time, and better restoration of complex anatomy.

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Single-Piece Titanium Plate Cranioplasty Reconstruction of Complex Defects

Abstract: Single-piece titanium plate cranioplasty is an effective novel reconstruction method for complex cranio-orbital defects.

Cited by 12 publications

References 15 publications

Progressive Scalp Thinning Over Mesh Cranioplasty and the Role of Lipotransfer

Progressive Scalp Thinning Over Mesh Cranioplasty and the Role of Lipotransfer

Computer-guided frontal bone defect reconstruction using customized three dimensional PEEK-PSI

Cranioplasty With Customized Craniofacial Implants and Intraoperative Resizing for Single-Stage Reconstruction Following Oncologic Resection of Skull Neoplasms

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