Accurate Reconstruction of Traumatic Bony Contour Defects of Periorbital Area With Prefabricated Silastic

A method to reconstruct visible cranioplasty defects involving the anterior cranium with the durability of bone and the exacting contours of the custom silicone implant is described. This technique is simple, quick, and does not require intraoperative assessment of subtle contours. The patient has a rigid underlying bony support with a perfectly contoured external surface. In patients with cranioplasty involving the cranium anterior to the hairline, we take advantage of both split rib grafts and a silicone prosthesis in one stage to obtain optimal results.

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Acrylic frontal cranioplasty

Remsen¹,

Lawson²,

Biller³

1986

Head Neck

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The correction of contour defects of the frontal bone has been accomplished with a variety of autogenous and alloplastic materials. We report our experience in reconstructing 11 cases of congenital, traumatic, and postsurgical frontal defects with acrylic. The acrylic was cured intraoperatively within the defect in some patients, or prefabricated into a prosthesis and wired into position in others. The operative techniques for both methods of repair are detailed. The reconstruction was successful in all cases and there were no complications. The acrylic implant has been found to be well tolerated after 2-10 yr follow-up. The value of the construction of a facial moulage is stressed, especially when restoration of the orbital rim is required.

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Accurate Reconstruction of Traumatic Bony Contour Defects of Periorbital Area With Prefabricated Silastic

Cited by 20 publications

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Custom Implants for Reconstruction of Craniofacial Defects

Custom Implants for Reconstruction of Craniofacial Defects

Cranioplasty with a silicone prosthesis and split rib grafts

Acrylic frontal cranioplasty

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