Calvarial reconstruction of small-size skull defects performing “8 cranioplasty” in children: surgical experience, clinical results and treatment algorithm

Abstract

Almost all of our patients reported good surgical and clinical outcomes with this presented management and surgical algorithm. Autologous split bone grafting technique in small-size skull defects, with its proposed name "8 cranioplasty" is a safe and effective reconstructive procedure due to its short-term surgery, small-size surgical zone, low complication rate, good cosmetic results and cost effectiveness. In addition, our algorithm specified for this procedure is purposive and also saves the surgeon time in the surgical planning stage.

Pediatric Cranial Defects: What Size Warrants Repair?

“…Several cases of nonsurgical management using size as a factor in clinical judgement were reported. A study by Dogan et al 9 reported 1 epidermoid cyst resulting in a defective region of 2 cm 2 for which reconstruction was not performed “due to size.” The age of the patient and the outcome were not reported. In a case report by Yilmaz et al 10 , an 11 month old female with multiple congenital lytic lesions of the skull (sizes not indicated) was followed conservatively using ultrasound for 3 years with no change, injuries, or complications reported.…”

Kalvaryal Kavernöz Hemanjiom: nadir görülen bir olgu

“…Kalvaryal bölgede ele gelen şişlik olarak kendini gösteren ve ayırıcı tanıda düşünülmesi gereken lipom, epidermal kist, skalp hemanjiomu, nörofibrom gibi lezyonlar mevcuttur (9,10). Kalvaryal kavernomlarda lezyonun total eksizyonu ve kozmetik açıdan eş zamanlı cerrahi planlanmasında yarar vardır (7).…”