دورية أكاديمية
Rapid Intraoperative in Situ Synthetic Cranioplasty.
| العنوان: | Rapid Intraoperative in Situ Synthetic Cranioplasty. |
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| المؤلفون: | Young CC; Department of Neurological Surgery, University of Washington, Seattle, Washington, USA., Hanak BW; Department of Neurological Surgery, University of Washington, Seattle, Washington, USA., Patel AP; Department of Neurological Surgery, University of Washington, Seattle, Washington, USA., Sekhar LN; Department of Neurological Surgery, University of Washington, Seattle, Washington, USA. Electronic address: lsekhar@uw.edu. |
| المصدر: | World neurosurgery [World Neurosurg] 2018 Apr; Vol. 112, pp. 161-165. Date of Electronic Publication: 2018 Jan 31. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 101528275 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-8769 (Electronic) Linking ISSN: 18788750 NLM ISO Abbreviation: World Neurosurg Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: New York : Elsevier |
| مواضيع طبية MeSH: | Bone Cements*, Craniotomy/*methods , Osteoma/*surgery , Plastic Surgery Procedures/*methods , Skull/*surgery , Skull Neoplasms/*surgery, Humans ; Male ; Middle Aged ; Treatment Outcome |
| مستخلص: | 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. (Copyright © 2018 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Bone cement; Cranial defect; Craniectomy; Cranioplasty; In situ; Polymethyl methacrylate; Resorbable plate |
| المشرفين على المادة: | 0 (Bone Cements) |
| تواريخ الأحداث: | Date Created: 20180208 Date Completed: 20180521 Latest Revision: 20221207 |
| رمز التحديث: | 20240829 |
| DOI: | 10.1016/j.wneu.2018.01.126 |
| PMID: | 29409926 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1878-8769 |
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| DOI: | 10.1016/j.wneu.2018.01.126 |