2004
DOI: 10.1016/j.jcms.2003.08.005
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Cranioplasty using acrylic material: a new technical procedure

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Cited by 108 publications
(94 citation statements)
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References 14 publications
(11 reference statements)
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“…To achieve a satisfactory repair effect and reduce postoperative complications, good surgical skills and suitable repair materials are demanded. Various materials such as Plexiglas, bone cement, acrylic, and silicon rubber have been used to fill skull defects, 3,4,7 but have mostly been abandoned due to their poor biocompatibility, high incidence of infection, and formation of subcutaneous fluid effusions. Autogenous bone is also less frequently used because of its limited availability and different degrees of postimplantation absorption.…”
mentioning
confidence: 99%
“…To achieve a satisfactory repair effect and reduce postoperative complications, good surgical skills and suitable repair materials are demanded. Various materials such as Plexiglas, bone cement, acrylic, and silicon rubber have been used to fill skull defects, 3,4,7 but have mostly been abandoned due to their poor biocompatibility, high incidence of infection, and formation of subcutaneous fluid effusions. Autogenous bone is also less frequently used because of its limited availability and different degrees of postimplantation absorption.…”
mentioning
confidence: 99%
“…Despite the advantages, MMA has a high risk of extrusion, decomposition, and infection, and the residual monomer from cold polymerization may be toxic. 3,6,22 When MMA is ready to be used, it is mixed with a monomer that causes an exothermic reaction. While this makes the substance a malleable paste (Fig.…”
Section: Methyl Methacrylatementioning
confidence: 99%
“…It also exposes the patient to a potentially toxic monomer when cold polymerized and may cause exothermic thermal injury to the cerebrum when polymerized in situ. 11,14 Alloplastic alternatives to PMMA include hydroxyapatite, polyethylene, and bioactive glasses. Hydroxyapatite used in the cement form offers the advantages of malleability before hardening, osteoconductivity, and relative resistance to infection; however, it carries the disadvantages of being relatively expensive and does not fully convert to bone, so it is frequently used in conjunction with a structural support such as titanium mesh.…”
Section: Alloplastic Reconstructive Optionsmentioning
confidence: 99%
“…Heterotopic autograft, obtained from split-thickness local calvaria, rib, mandible, iliac crest, or tibia, eliminate the risk of immunologic reactivity or foreign body reaction. 11,14 However, donor site morbidity, increased surgical complexity, and graft site resorption render this option less desirable. 11,14,17 Calvarial allografts 18 and xenografts 14 eliminate the risk of donor site morbidity but offer suboptimal cosmesis and risk infection and immunologic reactivity that are unacceptable in light of the available alternatives.…”
Section: Biological Reconstructive Optionsmentioning
confidence: 99%
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