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Calvarial reconstruction using high-density porous polyethylene cranial hemispheres
AIMS: Cranial vault reconstruction can be performed with a variety of autologous or alloplastic materials. We describe our experience using high-density porous polyethylene (HDPE) cranial hemisphere for cosmetic and functional restoration of skull defects. The porous nature of the implant allows sof...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2011
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3263269/ https://www.ncbi.nlm.nih.gov/pubmed/22279274 http://dx.doi.org/10.4103/0970-0358.90812 |
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author | Mokal, Nitin J. Desai, Mahinoor F. |
author_facet | Mokal, Nitin J. Desai, Mahinoor F. |
author_sort | Mokal, Nitin J. |
collection | PubMed |
description | AIMS: Cranial vault reconstruction can be performed with a variety of autologous or alloplastic materials. We describe our experience using high-density porous polyethylene (HDPE) cranial hemisphere for cosmetic and functional restoration of skull defects. The porous nature of the implant allows soft tissue ingrowth, which decreases the incidence of infection. Hence, it can be used in proximity to paranasal sinuses and where previous alloplastic cranioplasties have failed due to implant infection. MATERIALS AND METHODS: We used the HDPE implant in seven patients over a three-year period for reconstruction of moderate to large cranial defects. Two patients had composite defects, which required additional soft tissue in the form of free flap and tissue expansion. RESULTS: In our series, decompressive craniectomy following trauma was the commonest aetiology and all defects were located in the fronto-parieto-temporal region. The defect size was 10 cm on average in the largest diameter. All patients had good post-operative cranial contour and we encountered no infections, implant exposure or implant migration. CONCLUSIONS: Our results indicate that the biocompatibility and flexibility of the HDPE cranial hemisphere implant make it an excellent alternative to existing methods of calvarial reconstruction. |
format | Online Article Text |
id | pubmed-3263269 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-32632692012-01-25 Calvarial reconstruction using high-density porous polyethylene cranial hemispheres Mokal, Nitin J. Desai, Mahinoor F. Indian J Plast Surg Original Article AIMS: Cranial vault reconstruction can be performed with a variety of autologous or alloplastic materials. We describe our experience using high-density porous polyethylene (HDPE) cranial hemisphere for cosmetic and functional restoration of skull defects. The porous nature of the implant allows soft tissue ingrowth, which decreases the incidence of infection. Hence, it can be used in proximity to paranasal sinuses and where previous alloplastic cranioplasties have failed due to implant infection. MATERIALS AND METHODS: We used the HDPE implant in seven patients over a three-year period for reconstruction of moderate to large cranial defects. Two patients had composite defects, which required additional soft tissue in the form of free flap and tissue expansion. RESULTS: In our series, decompressive craniectomy following trauma was the commonest aetiology and all defects were located in the fronto-parieto-temporal region. The defect size was 10 cm on average in the largest diameter. All patients had good post-operative cranial contour and we encountered no infections, implant exposure or implant migration. CONCLUSIONS: Our results indicate that the biocompatibility and flexibility of the HDPE cranial hemisphere implant make it an excellent alternative to existing methods of calvarial reconstruction. Medknow Publications & Media Pvt Ltd 2011 /pmc/articles/PMC3263269/ /pubmed/22279274 http://dx.doi.org/10.4103/0970-0358.90812 Text en Copyright: © Indian Journal of Plastic Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Mokal, Nitin J. Desai, Mahinoor F. Calvarial reconstruction using high-density porous polyethylene cranial hemispheres |
title | Calvarial reconstruction using high-density porous polyethylene cranial hemispheres |
title_full | Calvarial reconstruction using high-density porous polyethylene cranial hemispheres |
title_fullStr | Calvarial reconstruction using high-density porous polyethylene cranial hemispheres |
title_full_unstemmed | Calvarial reconstruction using high-density porous polyethylene cranial hemispheres |
title_short | Calvarial reconstruction using high-density porous polyethylene cranial hemispheres |
title_sort | calvarial reconstruction using high-density porous polyethylene cranial hemispheres |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3263269/ https://www.ncbi.nlm.nih.gov/pubmed/22279274 http://dx.doi.org/10.4103/0970-0358.90812 |
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