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Feasibility of the custom-made titanium cranioplasty CRANIOTOP(®)

BACKGROUND: With decompressive craniectomy for ischemic stroke, traumatic brain injury, and skull-infiltrating tumors, the need for cranioplasty has increased. Different materials for custom-made cranioplasties have been evaluated, but a gold standard could not yet be established. We report our expe...

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Autores principales: Höhne, Julius, Brawanski, Alexander, Gassner, Holger G., Schebesch, Karl-Michael.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3740614/
https://www.ncbi.nlm.nih.gov/pubmed/23956931
http://dx.doi.org/10.4103/2152-7806.114811
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author Höhne, Julius
Brawanski, Alexander
Gassner, Holger G.
Schebesch, Karl-Michael.
author_facet Höhne, Julius
Brawanski, Alexander
Gassner, Holger G.
Schebesch, Karl-Michael.
author_sort Höhne, Julius
collection PubMed
description BACKGROUND: With decompressive craniectomy for ischemic stroke, traumatic brain injury, and skull-infiltrating tumors, the need for cranioplasty has increased. Different materials for custom-made cranioplasties have been evaluated, but a gold standard could not yet be established. We report our experience with the new custom-made titanium CRANIOTOP(®)cranioplasty (CL Instruments, Germany). METHODS: A total of 50 consecutive patients received a CRANIOTOP cranioplasty within a 2 year interval. We reviewed the charts for time between initial surgery and cranioplasty, indication, complications, operative time, and cosmetic outcome. Postoperative imaging (computed tomography [CT] scan n = 48, magnetic resonance imaging (MRI) n = 5) was screened for fitting accuracy and for hemorrhages. RESULTS: The most common indication for craniectomy were diffuse edema due to traumatic brain injury (n = 17, 34%) and ischemic stroke (n = 12, 24%). All patients were satisfied with the cosmetic result. In the postoperative CT scan accurate fitting was confirmed in all patients, the postoperative MRI was free of artifacts. Surgical revision was necessary in five patients because of empyema (n = 2), wound exposure (n = 2), and one cerebrospinal fluid fistula. Thus, the surgical morbidity was 10%. CONCLUSION: With due consideration of the limitations of this retrospective study, we feel the present data allow concluding that the custom-made titanium cranioplasty CRANIOTOP(®)is safe and feasible.
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spelling pubmed-37406142013-08-16 Feasibility of the custom-made titanium cranioplasty CRANIOTOP(®) Höhne, Julius Brawanski, Alexander Gassner, Holger G. Schebesch, Karl-Michael. Surg Neurol Int Original Article BACKGROUND: With decompressive craniectomy for ischemic stroke, traumatic brain injury, and skull-infiltrating tumors, the need for cranioplasty has increased. Different materials for custom-made cranioplasties have been evaluated, but a gold standard could not yet be established. We report our experience with the new custom-made titanium CRANIOTOP(®)cranioplasty (CL Instruments, Germany). METHODS: A total of 50 consecutive patients received a CRANIOTOP cranioplasty within a 2 year interval. We reviewed the charts for time between initial surgery and cranioplasty, indication, complications, operative time, and cosmetic outcome. Postoperative imaging (computed tomography [CT] scan n = 48, magnetic resonance imaging (MRI) n = 5) was screened for fitting accuracy and for hemorrhages. RESULTS: The most common indication for craniectomy were diffuse edema due to traumatic brain injury (n = 17, 34%) and ischemic stroke (n = 12, 24%). All patients were satisfied with the cosmetic result. In the postoperative CT scan accurate fitting was confirmed in all patients, the postoperative MRI was free of artifacts. Surgical revision was necessary in five patients because of empyema (n = 2), wound exposure (n = 2), and one cerebrospinal fluid fistula. Thus, the surgical morbidity was 10%. CONCLUSION: With due consideration of the limitations of this retrospective study, we feel the present data allow concluding that the custom-made titanium cranioplasty CRANIOTOP(®)is safe and feasible. Medknow Publications & Media Pvt Ltd 2013-07-09 /pmc/articles/PMC3740614/ /pubmed/23956931 http://dx.doi.org/10.4103/2152-7806.114811 Text en Copyright: © 2013 Höhne J. http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Original Article
Höhne, Julius
Brawanski, Alexander
Gassner, Holger G.
Schebesch, Karl-Michael.
Feasibility of the custom-made titanium cranioplasty CRANIOTOP(®)
title Feasibility of the custom-made titanium cranioplasty CRANIOTOP(®)
title_full Feasibility of the custom-made titanium cranioplasty CRANIOTOP(®)
title_fullStr Feasibility of the custom-made titanium cranioplasty CRANIOTOP(®)
title_full_unstemmed Feasibility of the custom-made titanium cranioplasty CRANIOTOP(®)
title_short Feasibility of the custom-made titanium cranioplasty CRANIOTOP(®)
title_sort feasibility of the custom-made titanium cranioplasty craniotop(®)
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3740614/
https://www.ncbi.nlm.nih.gov/pubmed/23956931
http://dx.doi.org/10.4103/2152-7806.114811
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