OBJECTIVE Decompressive hemicraniectomy is an accepted treatment for otherwise untreatable intracranial hypertension. The aim of this prospective randomized study is to evaluate the benefit of application of collagen matrix as an onlay graft to reduce operating time during hemicraniectomy and to facilitate dural dissection during second-stage cranioplasty. METHODS Thirty-four consecutive pati...

BACKGROUND Large cranial defects represent reconstructive challenges. Polyetheretherketone (PEEK) implants are preoperatively tailored to the exact size of the defect and exhibit an excellent combination of strength, durability, and environmental resistance. This study presents our experience with patient-specific PEEK implants with computer modeling. METHODS A retrospective chart review was ...

INTRODUCTION Reconstruction of cranial defects is an essential component of skull base surgery as it aids in restoring functionality, providing coverage of intradural structures, and achieving optimal cosmesis. In acoustic neuroma surgery, tumor removal and subsequent reconstruction of the skull base defect are equally important elements. All three approaches utilized in acoustic neuroma surger...

Jaakko Piitulainen Reconstruction of cranial bone defects with fiber-reinforced composite–bioactive glass implants From the University of Turku, Faculty of Medicine, Department of Otorhinolaryngology–Head and Neck Surgery and the Department of Biomaterials Science, Doctoral Programme of Clinical Investigation; and Turku University Hospital, Turku, Finland Annales Universitas Turkuensis Ser. D, ...

Cranioplasty in pediatrics often results a poor outcome. Therefore, proper consideration and decision-making are needed choosing surgical techniques for cranioplasty children, especially autologous, which can cause abnormal skull brain growth. A 3-year-old girl presented to our outpatient clinic with complaint of left front-temporo-parietal defect due history acute subdural hemorrhage evacuatio...

Background: Giant acute extradural hematoma following titanium mesh cranioplasty is very rare. Case Report: We report a giant post-cranioplasty which required surgical evacuation and removal of implant. The was done for post-craniectomy defect from right sided decompressive craniectomy fronto-temporo-parietal subdural (aSDH) contusion. On evacuation, patient recovered. Later on repeat with no c...

conclusions along with the technological advancement, different materials are employed according to the size of the cranium defect and the age of the case. the application of split costa cranioplasty for the small cranium defects in the region of patient’s face is the method with the least possibility of complications, and its cosmetic and functional results are quite promising. introduction os...

Dear Editor, Decompressive craniectomy is a common procedure performed for raised intracranial hypertension with obligatory subsequent bone flap replacement or cranioplasty at varying intervals, for various side effects of the lack of bone flap, well described in the literature. However, the complications during and following the replacement of bone flap did not strike the limelight, which may ...

Cleidocranial dysplasia is a well-documented rare autosomal dominant skeletal dysplasia characterized by hypoplastic/aplastic clavicles, brachycephalic skull, patent sutures and fontanelles, midface hypoplasia, and abnormalities of dentition. Patients with cleidocranial dysplasia often complain about undesirable esthetic appearance of their forehead and skull. Notwithstanding many studies of mo...