Langzeitergebnisse nach Rekonstruktion der Schädelbasis mit Ionomerzement*

Baier, G.; G, Geyer; Dieler, R.; Helms, J.

doi:10.1055/s-2007-997008

Cited by 9 publications

(8 citation statements)

References 1 publication

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“…Von der Verwendung von Knochenzementen raten wir ab, da die Gefahr einer toxischen Enzephalopathie bei direktem Kontakt zum Hirngewebe respektive dem Liquor besteht [2,23] [4,6,20,22,29,30]. Durch die zwischenzeitlich mögliche Einbindung eines CBogens im Rahmen einer digitalen Volumentomographie ist darüber hinaus eine Real-Time-Navigation intraoperativ mög-lich geworden, die z.…”

Section: Materialien Für Die Duraplastikunclassified

Diagnostik und Therapie von Verletzungen der Frontobasis

Lorenz

Maier

Mauer

2011

HNO

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The role of ENT surgery in the management of anterior skull base defects has become increasingly important in recent years. Transnasal endoscopic surgical techniques and intraoperative navigation enable a minimally invasive approach in a large proportion of patients, thus helping to avoid morbidity typically associated with neurosurgical subfrontal approaches. Whereas traffic accidents and sport injuries are the main causes of anterior skull base trauma in the civilian setting, penetrating injuries caused by gunshots and improvised explosive devices (IEDs) play an increasing role in the military arena and terroristic attacks. Minor injuries to the anterior skull base are usually managed by ENT surgeons. Major injuries, involving the midface or neurocranium, require an interdisciplinary approach including maxillofacial surgeons and neurosurgeons. A centre for head and neck medicine and surgery is an ideal setting for such interdisciplinary teams to provide appropriate care for patients with complex skull base trauma in cooperation with ophthalmologists and interventional neuoradiologists. The present article describes concepts for the treatment of anterior skull base trauma established at the head, neck and skull base center at the Ulm military hospital in Germany.

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Section: Materialien Für Die Duraplastikunclassified

Diagnostik und Therapie von Verletzungen der Frontobasis

Lorenz

Maier

Mauer

2011

HNO

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“…Bei Verwendung in der Nähe von Schleimhäuten wird Apatit mit einem erhöhten Risiko chronischer Infektionen assoziiert [23] und ist somit bei potenziellem Auftreten entzündlicher Prozesse (Nebenhöhlen, ohrnahe Laterobasis) nicht unumstritten [49]. Glasionomerzement, der in der Rekonstruktion von Frontobasis und Stirnhöhle gängiges Material war, wird aufgrund von Berichten über schwere Komplikationen wie einer Aluminium-Enzephalopathie nicht mehr für die Schädelbasisrekonstruktion verwendet [51,52].…”

Section: Titannetzeunclassified

Biomaterialien in der Schädelbasischirurgie

Maier¹

2009

Laryngo-Rhino-Otol

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Reconstruction materials and techniques for the skull base have undergone rapid developments and differentiation in recent years. While mostly autotransplants, collagens or resorbable alloplastic materials are preferred for duraplasties, pronounced organ-specific differences can be observed IN the reconstruction of hard tissues. The use of polymethylmethacryl bone cement, once wide-spread, has decreased greatly due to the release of toxic monomers. Bony autotransplants are still used primarily for smaller skull-base defects, intraoperatively formable titanium meshes may be also used for larger fronto- or laterobasal reconstructions of bony defects. Defects in visible areas are increasingly closed with preformed titanium or ceramic implants, which are planned and fitted to the individual patient using preoperative CT imaging. At the skull base, this applies especially to reconstructions of the frontal sinus. For extensive reconstructions of the orbita, titanium meshes and non-resorbable plastics have proven valuable, in closing smaller defects especially of the orbital floor, resorbable implants based on Polyglactin 901 are also used.

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“…Glass ionomer cement, which was a common material in the reconstruction of frontobasis and frontal sinus, is no longer used for skull base reconstruction due to reports of serious complications, like aluminum encephalopathy [ 51 ], [ 52 ].…”

Section: Hard Tissue Replacementmentioning

confidence: 99%

Biomaterials in skull base surgery

Maier

2009

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 8:Doc07; ISSN 1865-1011

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Langzeitergebnisse nach Rekonstruktion der Schädelbasis mit Ionomerzement*

Cited by 9 publications

References 1 publication

Diagnostik und Therapie von Verletzungen der Frontobasis

Diagnostik und Therapie von Verletzungen der Frontobasis

Biomaterialien in der Schädelbasischirurgie

Biomaterials in skull base surgery

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