Reconstruction of temporal hollowing deformities using silicone implants made using a toy-clay model: a report of three cases

Abstract

Severe temporal hollowing deformities can occur in patients who undergo craniectomy after intracranial hemorrhage. Reconstruction surgery for cosmetic purposes using silicone implants in patients with temporal hollowing deformities after craniectomy is advantageous because the procedure is simple and rapid, with a short recovery time, resulting in lower overall treatment costs. Of paramount importance, this option yields highly satisfactory results for patients. The authors present three cases of simple and fast surgery using silicone implants where highly satisfactory outcomes were obtained.

Correction of postoperative temporal hollowing using a combination of thread-lift and autologous fat graft: a case report

“…Various methods are used to reconstruct temporal hollowing with alloplastic materials, such as poly-methyl-methacrylate, hydroxyapatite, and polyetheretherketone [7]. This type of correction can be performed without donor site morbidity.…”

“…Another traditional method of reconstruction uses autologous tissue (e.g., bone grafts, dermofat grafts, and fat grafts). However, donor site morbidity, inadequate engraftment, and limitations of the volume of harvested tissue can be problematic [7]. Because reconstruction for temporal hollowing is performed near scar tissue from a previous operation, the survival rate of the autologous graft can be affected by a hostile tissue environment [9].…”

“…Threadlifting, which is widely used for aesthetic purposes, was applied to manage the bulging in the zygomatic area, which in this case was caused by sagging due to atrophy of the temporalis muscle. Threadlifting is a minimally invasive technique used to improve the contour of soft tissue [7,12]. The thread (Mint Lift; HansBioMed Corp.) used for thread-lifting in our case has a barbed surface and consists of PDO [13].…”

“…Alloplastic implants such as polyetheretherketone or porous polyethylene implants have also been used for reconstruction [5,6], as well as custom-made silicone implants. Each method has advantages and disadvantages [7].…”

Cranioplasty and temporal hollowing correction with a three-dimensional printed bioresorbable mesh and double vertical suture anchor muscle sling: a case report

“…Park et al [9] suggested a method of placing the three-dimensional (3D) printed implant between the superficial and deep layers of the temporalis muscle to improve esthetic outcomes in 2019. Kim et al [10] reported three cases of satisfying outcomes using silicone implants made with a toy-clay model. We suggest a simple suture sling technique to help resolve this problem.…”