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Rapid Intraoperative in Situ Synthetic Cranioplasty.

Publication ,  Journal Article
Young, CC; Hanak, BW; Patel, AP; Sekhar, LN
Published in: World Neurosurg
April 2018

Craniectomy is a frequently performed neurosurgical procedure, and coverage of the cranial defect is necessary for protection of the underlying brain, cosmesis, and patient satisfaction. We report a new technique for intraoperative in situ synthetic cranioplasty that provides one-step resection of skull osteomas and reconstruction of cranial defects. Strategies of intraoperative cranioplasty are reviewed. A 48-year-old man who presented with a suspected benign osteoma over his forehead was offered surgical excision and primary cranioplasty in a one-step procedure using hydroxyapatite bone cement, a dural prosthetic, and a resorbable plate. Following craniectomy around the lesion, there was evidence of dural and bone involvement. The craniectomy was enlarged, and the involved dura was resected. SYNTHECEL dura repair was used to repair the dural defect and at the same time fashioned to form a receptacle for the cranioplasty by fixation of the dural substrate to the cut vertical bone edges. DirectInject hydroxyapatite bone cement was used to fill the receptacle and contoured to the curvature of the adjacent skull. A Delta resorbable plate was then placed over the bone cement and fixed to the skull. This technique provided a satisfactory cosmetic outcome following craniectomy for benign skull tumor excision. When possible, one-step surgery with primary cranioplasty should be considered.

Duke Scholars

Published In

World Neurosurg

DOI

EISSN

1878-8769

Publication Date

April 2018

Volume

112

Start / End Page

161 / 165

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Skull Neoplasms
  • Skull
  • Plastic Surgery Procedures
  • Osteoma
  • Middle Aged
  • Male
  • Humans
  • Craniotomy
  • Bone Cements
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Young, C. C., Hanak, B. W., Patel, A. P., & Sekhar, L. N. (2018). Rapid Intraoperative in Situ Synthetic Cranioplasty. World Neurosurg, 112, 161–165. https://doi.org/10.1016/j.wneu.2018.01.126
Young, Christopher C., Brian W. Hanak, Anoop P. Patel, and Laligam N. Sekhar. “Rapid Intraoperative in Situ Synthetic Cranioplasty.World Neurosurg 112 (April 2018): 161–65. https://doi.org/10.1016/j.wneu.2018.01.126.
Young CC, Hanak BW, Patel AP, Sekhar LN. Rapid Intraoperative in Situ Synthetic Cranioplasty. World Neurosurg. 2018 Apr;112:161–5.
Young, Christopher C., et al. “Rapid Intraoperative in Situ Synthetic Cranioplasty.World Neurosurg, vol. 112, Apr. 2018, pp. 161–65. Pubmed, doi:10.1016/j.wneu.2018.01.126.
Young CC, Hanak BW, Patel AP, Sekhar LN. Rapid Intraoperative in Situ Synthetic Cranioplasty. World Neurosurg. 2018 Apr;112:161–165.
Journal cover image

Published In

World Neurosurg

DOI

EISSN

1878-8769

Publication Date

April 2018

Volume

112

Start / End Page

161 / 165

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Skull Neoplasms
  • Skull
  • Plastic Surgery Procedures
  • Osteoma
  • Middle Aged
  • Male
  • Humans
  • Craniotomy
  • Bone Cements