Cranial Bone Grafting in Children

Koenig, William; Donovan, James F.; Pensler, Jay M.

doi:10.1097/00006534-199501000-00001

Cited by 81 publications

(59 citation statements)

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“…4,8 As has been described by Steinbok et al, however, by squeezing the craniectomised bone with Tessier bone benders to create a plane of separation, fixing the graft to a vice clamp, and then separating the 2 layers with thin straight osteotomes and a 3-mm sagittal saw, we are often able to split the graft in two in these younger patients with relative ease. 10 However, there exists marked variability in skull thickness among children.…”

Section: Discussionmentioning

confidence: 99%

“…10 However, there exists marked variability in skull thickness among children. 8,9 Furthermore, prior infection, trauma, and long-standing hydrocephalus may affect the integrity and quality of the bone available for grafting. 9,10 Even in the most experienced hands, therefore, splitting the bone into 2 identical pieces in some circumstances may prove impossible.…”

Section: Discussionmentioning

confidence: 99%

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Use of a customized 3D “basket” to create a solitary split-thickness cranial graft from numerous split fragments in an infant

Sandler

Tepper

Goodrich

et al. 2014

PED

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While autologous split calvaria remains the preferred material for use in pediatric cranioplasty, it may be difficult to split the bone neatly into two distinct pieces, especially in infants and young children. In this paper, the authors present a technique in which numerous split pieces of bone can be readily joined together and conformed to the shape of the specific defect using a customized template and 3D trellis-like basket.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Use of a customized 3D “basket” to create a solitary split-thickness cranial graft from numerous split fragments in an infant

Sandler

Tepper

Goodrich

et al. 2014

PED

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“…13 Moreover, autologous cranial bone grafts can be harvested with ease and have an enhanced survival time relative to other types of bone. 17 When the cranial bone grafts are split, reconstruction of the donor site is greatly simplified, which reduces donor site morbidity. Autologous split-thickness bone grafts have become the graft of choice in craniofacial reconstructions in children.…”

Section: Autologous Bone Graftmentioning

confidence: 99%

“…Autologous split-thickness bone grafts have become the graft of choice in craniofacial reconstructions in children. 17 Autologous bone can be preserved either by cryopreservation or by placement in a subcutaneous abdominal pocket. Both of these methods may be equally efficacious for storage in a non-traumatic brain injury setting.…”

Section: Autologous Bone Graftmentioning

confidence: 99%

Materials used in cranioplasty: a history and analysis

Shah

Jung

Skirboll

2014

FOC

296

305

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Cranioplasty, one of the oldest surgical procedures used to repair cranial defects, has undergone many revolutions over time to find the ideal material to improve patient prognosis. Cranioplasty offers cosmetic and protective benefits for patients with cranial defects. The first primitive cranioplasty procedures date back to 7000 bc and used metal and gourds to repair cranial defects. Cranioplasty was first documented by Fallopius who described repair using gold plates; the first bone graft was documented by van Meekeren. The first significant improvement for this procedure began with experimentation involving bone grafts in the late 19th century as a more natural approach for repairing cranial defects. The next impetus for advancement came because of wartime injuries incurred during World Wars I and II and involved experimentation with synthetic materials to counter the common complications associated with bone grafts. Methyl methacrylate, hydroxyapatite, ceramics, and polyetheretherketone implants among other materials have since been researched and used. Research now has shifted toward molecular biology to improve the ability of the patient to regenerate bone using bone growth factors. This paper reviews the evolution of materials used over time in addition to the various advantages and pitfalls associated with each change. It is important for neurosurgeons to be mindful of how these techniques have evolved in order to gain a better understanding of this procedure and how it has been adapted.

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“…Structures such as the internal parts of the auditory organ and the eyes do not grow after birth [Eisenberg, 1976]. The thickness of the cranial bones increases in a virtually linear fashion during the first 12 years after birth from an average of 1.4 mm at birth to 6.8 mm at 12 years of age [Koenig et al, 1995]. Growth then decelerates before coming to a stop at around 18 years of age with an average cranial bone thickness of 7.7 mm.…”

mentioning

confidence: 99%

Mobile phones and children: Is precaution warranted?

Rongen

Roubos

Aernsbergen

et al. 2004

Bioelectromagnetics

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Are there health related arguments to recommend that children limit their use of mobile telephones? The International Expert Group on Mobile Phones from the UK concluded so, but did not come up with convincing scientific data to back this statement. The Health Council of the Netherlands approached the problem by considering whether developmental arguments might be found, i.e., asking if there reason to believe that the heads of children are more susceptible to the electromagnetic fields emitted by mobile telephones than those of adults. It concluded that no major changes in head development occur after the second year of life that might point at a difference in electromagnetic susceptibility between children and adults. The Health Council therefore sees no reason to recommend limiting the use of mobile phones by children.

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Cranial Bone Grafting in Children

Cited by 81 publications

References 0 publications

Use of a customized 3D “basket” to create a solitary split-thickness cranial graft from numerous split fragments in an infant

Use of a customized 3D “basket” to create a solitary split-thickness cranial graft from numerous split fragments in an infant

Materials used in cranioplasty: a history and analysis

Mobile phones and children: Is precaution warranted?

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