Titanium mesh and acrylic cranioplasty

Malis, Leonard I.

doi:10.1097/00006123-198909000-00005

Cited by 47 publications

(39 citation statements)

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“…When the adult literature is reviewed, the incidence of infection, wound breakdown and breakage is significantly less, with some series reporting none [1][2][3][4][5][6][7], The increased incidence of late complications of the pediatric popula tion in the reported series is therefore questioned. Predis posing factors could include the thinner scalp present in childhood or the effects of continued skull growth on the acrylic resin.…”

Section: Discussionmentioning

confidence: 99%

Methyl Methacrylate Cranioplasty in Children: Long-Term Results

Blum

Schneider

Rosenthal³

1997

Pediatr Neurosurg

154

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The long-term outcome of 75 children who underwent methyl methacrylate cranioplasty over a 15-year period is presented. Forty-two patients underwent cranioplasty for posttraumatic skull defects and 33 for nontraumatic causes. Within 8 years following initial cranioplasty procedure, a total of 17 (23%) complications occurred. Several factors correlated with the development of complications, including postoperative radiotherapy, the size of the defect, involvement of the frontal sinus, and the presence of prior infection. The authors currently recommend avoiding methyl methacrylate cranioplasty in selected patients who have received postoperative radiation therapy, in patients with large cranial defects, involvement of the frontal sinus, or any history of prior infection.

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Section: Discussionmentioning

confidence: 99%

Methyl Methacrylate Cranioplasty in Children: Long-Term Results

Blum

Schneider

Rosenthal³

1997

Pediatr Neurosurg

154

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“…The decision regarding cranioplasty must be influenced by the patient's age, prognosis, activity level and the specific condition of the scalp and the calvarium. There are two basic methods for reconstruction viz (a) Osteo-plastic reconstruction [2,3] and (b) restoration with alloplastic implants [4,5]. To achieve a successful result, adequate vascularity of the scalp flap, presence of dura, presence of outer layer of periosteum and absence of infection are important factors.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of Cranial Defects in Armed Forces Personnel - Our Experience

Bandyopadhyay¹,

Thapliyal

2005

Medical Journal Armed Forces India

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Background: The aim of this study was to evaluate the efficacy of heat cured 'poly methyl methacrylate resin prosthesis and to assess the acceptability of the indigenously manufactured titanium mini bone plate and screws in patients treated for repair of cranial defects. Methods: 17 patients with cranial defect were treated for reconstruction of the skull defect with two types of implants i.e. Acrylic resin plate prosthesis and titanium minibone plates, either in combination or singularly. In these cases, the skull defects resulted from trauma (88.23%) or due to ablative tumour surgery (11.96%). Acrylic implant was used in 12 cases (70.85%), titanium plates and screws in 2 cases (11.76%) and a combination of both of the above in 3 cases (17.64). Results: The primary reconstruction was carried out in 2 cases (11.96%) and secondary reconstruction was done in 15 cases (88.23%). Majority of the cases underwent secondary reconstruction because of the initial surgical emergency requiring quick debulking and closure. In 2 cases where primary reconstruction was done, the second surgery could be avoided with gratifying results. Conclusion: 70.85% underwent reconstruction with polymethyl methacrylate resin prosthesis and in the rest either titanium plates were used singly or in combination. Only in one patient, there was rejection of the implant due to infection. In 94% cases the graft was well taken up with excellent results. MJAFI 2005; 61 : 36-40

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“…Low morbidity and mortality are expected [1, 2, 3, 21, 23]. It is inexpensive, easily molded at the time of operation and associated with a short operative time.…”

Section: Discussionmentioning

confidence: 99%

“…In some instances, such an undulated texture may only be appreciated by palpation and thus of little cosmetic consequence: nonetheless, it has been used as an argument against rib cranioplasty [19, 20]. Other potential hazards of rib graft cranioplasty include persistent pain and scarring at the donor site, bone resorption, prolonged operative time and a lack of protective effect during the healing period [19, 20, 21]. …”

Section: Introductionmentioning

confidence: 99%

Successful Use of Rib Grafts for Cranioplasty in Children

Taggard

Menezes²

2001

Pediatr Neurosurg

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Numerous materials are available for use in cranioplasty including bone, plastics and metals. Rib grafts as a construct for cranial reconstruction offer several advantages: autologous bone source, a formable platform, low infection, regeneration at the donor site and high fusion rates. Criticism of rib graft cranioplasty includes scarring and pain at the donor site, irregular contour at the graft site and graft reabsorption. Since 1988, we have performed rib autograft cranioplasty on 13 patients. Seven females and 6 males combined for an average age of 6 years (11 months to 20 years) at the time of surgery. The mean follow-up from surgery is 27 months (2–48 months), with 11 subjects having at least 12 months. The commonest reasons for cranial reconstruction were: post-traumatic calvarial defect (n = 4), defect from previous craniotomy (n = 3), ‘growing’ skull fracture (n = 2), and defect from previous encephalocele closure (n = 2). Mean defect size was 41 cm² (8–144 cm²) and average number of ribs harvested was 1.75 (1–3). Simple rib cranioplasty had a mean time in the operating room of 6 h and 30 min. No donor site complications were noted (pneumothorax, significant post-operative pain) and no post-operative infections were encountered. Excellent cranial contour was achieved in each of the 11 patients followed for a minimum of 12 months. One subject required staged reconstructive procedures owing to the size of the defect.

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Titanium mesh and acrylic cranioplasty

Abstract: Since June 1985 100 cranioplasties have been carried out using titanium mesh and acrylic. There have been no complications and no infections. Titanium mesh is virtually radiolucent. Titanium is nonmagnetic and is the most biocompatible metal known.

Cited by 47 publications

References 0 publications

Methyl Methacrylate Cranioplasty in Children: Long-Term Results

Methyl Methacrylate Cranioplasty in Children: Long-Term Results

Reconstruction of Cranial Defects in Armed Forces Personnel - Our Experience

Successful Use of Rib Grafts for Cranioplasty in Children

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