Cranioplasty in Children with Split Rib Graft

Sahoo, Nanda Kishore; Roy, Indranil; Rangarajan, Hemalatha G.

doi:10.1016/s0377-1237(11)80028-6

Cited by 7 publications

(4 citation statements)

References 8 publications

(5 reference statements)

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“…Although adjuvant therapy is frequently used, especially if there is an incomplete resection, or if the tumor was atypical or malignant [15]. It is advisable to attempt a reconstruction of the resected bone with the best option suitable for the patient age, since titanium mesh should not be used for patients under 12-year-old it is advisable to use autologous bone graft harvested from rib or iliac bone, this last option suitable only in children over 6-years-old since the potential adverse effect in growth impairment [16,17].…”

Section: Discussionmentioning

confidence: 99%

Case Report: Complete Resection of a Primary Intraosseous Meningioma in A 15-Year-Old Boy in Mexico, A Rare Entity

Perez Negrete

2024

J Neurol Res Rev Rep

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Meningiomas are among the most common primary benign tumors and most of them are primary intradural lesions located in the subdural space. According to Casas-Perera et al., they represent 36.4% of the primary intracranial tumors. Meningiomas may be incidental, small, and slow growing tumors or extensive and/or rapidly progressive growing masses. There is a subset of meningiomas that arise outside the intradural space, called Primary Extradural Meningiomas (PEM) which, as the name suggest, develop outside the intracranial compartment and in this myriad of locations, Primary Intraosseous Meningiomas (PIOMs) are considered an uncommon type of PEMs that constitute up to 2% of meningiomas overall.

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Section: Discussionmentioning

confidence: 99%

Case Report: Complete Resection of a Primary Intraosseous Meningioma in A 15-Year-Old Boy in Mexico, A Rare Entity

Perez Negrete

2024

J Neurol Res Rev Rep

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“…Other advantages include accessibility and availability, regeneration capacity, and minimal blood loss during the procedure. Even though a split rib graft has greater elasticity 17 , the shape of ribs makes it difficult to form the correct calvarial contour, resulting in an irregular surfaced reconstructed area, with depressions, causing a "washboard effect" 6 . At the donor site, complications such as hemothorax, pneumothorax or flail chest are considered an emergency, adding to morbidity 18 .…”

Section: Free Bone Graftsmentioning

confidence: 99%

Reconstruction of Defects of the Cranial Vault

Nikolopoulou,

Dontas,

Chronopoulos

et al. 2024

JRPMS

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The cranial vault consists of 8 bones including paired parietal and temporal bones, the frontal bone, the squamous part of the occipital bone, the greater wings of the sphenoid bone and the ethmoid bone. These bones protect the brain. The calvarial growth ceases when the bones meet in the fusion area.Congenital defects include syndromic and non-syndromic. Acquired defects include defects from tumor, infection and trauma, which can cause loss of the calvarium due to direct trauma or by craniectomy procedure and may result in brain injury. The above defects, as well as tumor resections, bone flap infections, and pathological conditions (e.g. fibroosseous lesions, scleroderma, microphthalmia, or intracranial vascular lesions), can lead to post-traumatic residual defects to the frontal, parietal, temporal, and occipital bones 1-3 , as well as brain injury. In 1945, Gardner first mentioned the "syndrome of the trephined", which includes symptoms such as headache, dizziness, irritability, loss of concentration, depression, anxiety, intolerance to noise and vibration, and neuromotor weakness 4 . Similar symptoms were later described as "the sinking skin flap syndrome" 5 , caused by "the tenting effect", where, due to atmospheric pressure, the scalp "sinks" into the defect, shaped like a tent held by the defect's margins 6 .Reconstruction of these cranial defects has been attempted with the use of different materials in order to protect the brain and re-establish the continuity of the cranium. These materials can be autografts, allografts, xenografts and alloplastic materials 7 . The characteristics of an ideal material 8 are the following: 1) Biocompatibility: Non-toxic to the living tissue

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“…Autologous bone can be harvested from the cranium or other sites like the ribs or iliac crest. Although many autologous options exist for cranioplasty reconstruction, limited availability in younger patients and the associated donor site morbidity make alloplastic cranioplasty an alternative option, especially for large cranial defects 3 7 8. Several alloplastic materials are available for cranial reconstruction including titanium, polyetheretherketone (PEEK), polymethylmethacrylate (PMMA), porous polyethylene (Medpor; Porex Surgical, Newnan, GA, USA) and bone cement.…”

Section: Introductionmentioning

confidence: 99%

Deformation of cranioplasty titanium mesh in a paediatric patient following head trauma

Sharaf¹,

Asaad

Banuelos

et al. 2019

BMJ Case Rep

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Decompressive craniectomy is a life-saving procedure performed to treat intracranial hypertension caused by a variety of conditions. Subsequent cranioplasty reconstruction is needed for brain protection. Different alloplastic materials with different advantages and disadvantages are available for cranial reconstruction. We present the first case of a deformed titanium cranioplasty mesh in a paediatric patient following head trauma. Children who have undergone cranioplasty reconstruction should be counselled to wear a protective helmet when involved in contact sports or activities that may put their implant at risk of trauma.

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Cranioplasty in Children with Split Rib Graft

Cited by 7 publications

References 8 publications

Case Report: Complete Resection of a Primary Intraosseous Meningioma in A 15-Year-Old Boy in Mexico, A Rare Entity

Case Report: Complete Resection of a Primary Intraosseous Meningioma in A 15-Year-Old Boy in Mexico, A Rare Entity

Reconstruction of Defects of the Cranial Vault

Deformation of cranioplasty titanium mesh in a paediatric patient following head trauma

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