Neurosurgical Device Implantation for Neurooncologic Patients: What To Avoid?

Chaskis, Elly; Sadeghi, Niloufar; Witte, Olivier De; Lefranc, Florence

doi:10.1016/j.wneu.2019.01.035

World Neurosurgery

2019

DOI: 10.1016/j.wneu.2019.01.035

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Neurosurgical Device Implantation for Neurooncologic Patients: What To Avoid?

Elly Chaskis

Niloufar Sadeghi

Olivier De Witte

et al.

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Cited by 3 publications

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“…Near perfectly shaped custom cranial implants can be ordered and prefabricated with exact patient specific curvatures to an oversized dimension, and then modified around the edges intraoperatively for an exact fit following bone/ brain tumor resection. [11][12][13][14] There are a several case reports in the literature, where immediate reconstruction with CCI's were performed for benign and malignant skull neoplasms following bone tumor resection (i.e., meningioma, fibrous dysplasia, metastasis). All of these studies are favorable and report acceptable outcomes, a trend towards decreased operative times, and less overall surgery by avoiding a need for secondary cranioplasty or revision surgery.…”

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confidence: 99%

Cranioplasty With Customized Craniofacial Implants and Intraoperative Resizing for Single-Stage Reconstruction Following Oncologic Resection of Skull Neoplasms

Ben-Shalom

Asemota

Belzberg

et al. 2022

Journal of Craniofacial Surgery

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Background: Craniectomies requiring skull reconstruction are indicated following oncological resection of masses involving the underlying brain and/or skull. Immediate cranioplasties have previously been performed using suboptimal hand-bending or molding techniques using "offtheshelf" products. Today with computeraided design, customized craniofacial implants have become widely available for personalized reconstruction of resected bone and soft tissue. We present here the largest series to date of single stage reconstruction using alloplastic biomaterials in consecutive patient series with oversized customized implants. Methods: A single-surgeon, retrospective, 8-year study was conducted on all consecutive patients undergoing single stage cranioplasty with prefabricated implants using a myriad of biomaterials. All outcomes were analyzed in detail and compared with previous studies utilizing similar alloplastic implants. Results: In total, 56 patients underwent resection of skull neoplasms and subsequent cranioplasty reconstruction using customized implants. The most common neoplasms were meningiomas (39%). The most common complications seen among patients were dehiscence -(7%), and extrusion of implant -(3.5%). There was no significant difference in the incidence of postoperative complications between patients who had postoperative chemotherapy/radiotherapy versus those that did not (22.2% versus 13.1%, P = 0.39). One-year follow-up revealed acceptable cranial contour and symmetry in all 56 cases.Conclusions: This is a consecutive case series of prefabricated single-stage cranioplasty, following resection of brain tumors with bone extension or skull bone neoplasm, demonstrating excellent results with regards to safety and patient satisfaction. There are several advantages such as comprehensive resection and reconstruction plan using 3D models, shorter operative time, and better restoration of complex anatomy.

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confidence: 99%

Cranioplasty With Customized Craniofacial Implants and Intraoperative Resizing for Single-Stage Reconstruction Following Oncologic Resection of Skull Neoplasms

Ben-Shalom

Asemota

Belzberg

et al. 2022

Journal of Craniofacial Surgery

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Ventriculoperitoneal shunt with the valve placed on the chest wall using a fixation technique that uses titanium screws for securing the reservoir to the cranium

Tanaka

Goto

Momozaki

et al. 2023

Interdisciplinary Neurosurgery

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Custom-Made Porous Hydroxyapatite Cranioplasty in Patients with Tumor Versus Traumatic Brain Injury: A Single-Center Case Series

et al. 2020

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Neurosurgical Device Implantation for Neurooncologic Patients: What To Avoid?

Cited by 3 publications

References 4 publications

Cranioplasty With Customized Craniofacial Implants and Intraoperative Resizing for Single-Stage Reconstruction Following Oncologic Resection of Skull Neoplasms

Cranioplasty With Customized Craniofacial Implants and Intraoperative Resizing for Single-Stage Reconstruction Following Oncologic Resection of Skull Neoplasms

Ventriculoperitoneal shunt with the valve placed on the chest wall using a fixation technique that uses titanium screws for securing the reservoir to the cranium

Custom-Made Porous Hydroxyapatite Cranioplasty in Patients with Tumor Versus Traumatic Brain Injury: A Single-Center Case Series

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