Timing of cranial reconstruction after cranioplasty infections: are we ready for a re-thinking? A comparative analysis of delayed versus immediate cranioplasty after debridement in a series of 48 patients

Rienzo, Alessandro Dı; Colasanti, Roberto; Gladi, Maurizio; Dobran, Mauro; Costanza, Martina Della; Capece, Mara; Veccia, Salvatore; Iacoangeli, Maurizio

doi:10.1007/s10143-020-01341-z

Cited by 9 publications

(2 citation statements)

References 20 publications

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“…Persistent infection and failures of the reconstruction in extensive procedures represent the main concerns. In this regard, an extended peri-operative antibiotic regimen, lasting up to 6--12 weeks [40 ▪ ,43] is generally advised, although the optimal timing and material for cranioplasty in case of anterior frontal table deformity is still a matter of debate [44 ▪ ,45].…”

Section: Discussionmentioning

confidence: 99%

Comprehensive access strategies to the frontal sinus

Turri‐Zanoni

Battaglia

Bignami

et al. 2022

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of reviewDespite the impressive evolutions in endoscopic endonasal approaches and instrumentations, the frontal sinus remains a challenging area. Different surgical options have been described over the years, but the main criticism lies in choosing the most suitable approach for a given case, based on the anatomy of each patient and the disease to treat. The purpose of this study is to provide a comprehensive review of surgical access strategies currently available to address the frontal sinus, including both endonasal and traditional external procedures, analysing indications, contraindications, complications and outcomes. Recent findingsFrontal sinus surgery includes minimally invasive endonasal approaches (balloon dilatation, Draf type I); extended endonasal approaches (Draf type IIA-IIB-IIC, Draf type III and their modifications via orbital transposition and contralateral pyriform aperture resection); external procedures (superior eyelid incision, frontal osteoplastic flap, Riedel procedure, Riedel-Mosher operation); and combined approaches. SummaryRecent advances in endoscopic endonasal techniques have deeply reshaped the surgical options to manage frontal sinus diseases, in an attempt to minimize the invasiveness of the procedures and maximize their outcomes. Traditional external procedures should be used in selected cases nonamenable for endonasal surgery. The appropriate selection of cases appears to be of paramount importance to obtain successful outcomes.

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Section: Discussionmentioning

confidence: 99%

Comprehensive access strategies to the frontal sinus

Turri‐Zanoni

Battaglia

Bignami

et al. 2022

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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“…Characterized by less load bearing and less mobility, bone retention in maxillofacial surgery is key to the success of bone reconstruction and bone grafting. , For example, immediate bone flap replacement requires in situ bone retention after craniotomy surgeries caused by empyema, infection, and tumors. − Meanwhile, autogenous onlay bone graft has been widely adopted for bone augmentation in maxillofacial implant surgery, where onlay bone retention is necessary. − Being heterogeneous, traditional invasive technologies including sutures and staples with metal wires or clamps (e.g., plates, screws, and pins) to provide bone retention have been reported to cause complications such as foreign-body reactions, stress shielding, aseptic loosening, fatigue breakage, and osteoporosis, which may eventually call for a second operation. − Given the advantages of biocompatibility and biodegradation, bone adhesive biomaterials have been developed to achieve decent bone adhesion, especially in maxillofacial surgery where the stress on bone tissue is relatively small and the one-step operation is better for psychological and aesthetic repair. , …”

Section: Introductionmentioning

confidence: 99%

Double-Cross-Linked Hydrogel with Long-Lasting Underwater Adhesion: Enhancement of Maxillofacial In Situ and Onlay Bone Retention

Yang,

Li,

Zhang

et al. 2023

ACS Appl. Mater. Interfaces

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Bone retention is a usual clinical problem existing in a lot of maxillofacial surgeries involving bone reconstruction and bone transplantation, which puts forward the requirements for bone adhesives that are stable, durable, biosafe, and biodegradable in wet environment. To relieve the suffering of patients during maxillofacial surgery with one-step operation and satisfying repair, herein, we developed a double-cross-linked A-O hydrogel named by its two components: [(3-Aminopropyl) methacrylamide]-co-{[Tris(hydroxymethyl) methyl] acrylamide} and oxidated methylcellulose. With excellent bone adhesion ability, it can maintain long-lasting stable underwater bone adhesion for over 14 days, holding a maximum adhesion strength of 2.32 MPa. Schiff-base reaction and high-density hydrogen bonds endow the hydrogel with strong cohesion and adhesion performance as well as maneuverable properties such as easy formation and injectability. A-O hydrogel not only presents rarely reported long-lasting underwater adhesion of hard tissue but also owns inherent biocompatibility and biodegradation properties with a porous structure that facilitates the survival of bone graft. Compared to the commercial cyanoacrylate adhesive (3 M Vetbond Tissue Adhesive), the A-O hydrogel is confirmed to be safer, more stable, and more effective in calvarial in situ bone retention model and onlay bone retention model of rat, providing a practical solution for the everyday scenario of clinical bone retention.

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