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https://www.readbyqxmd.com/read/29649020/autologous-bone-flap-resorption-years-after-subtemporal-craniotomy
#1
John Oladapo Obafunwa, Emily Hammerl, David Jaskierny, Livia Taylor, Lynette Russell, Karl Reinhard
In Spring of 2012, the partially undressed and skeletonized remains of a homeless adult Hispanic male was found in a fairly open wooded area in Nebraska. The remains showed evidence of extensive pathologies, which included healed traumas and surgeries. Examination of the decedent's medical records revealed that he had a history of kidney and liver problems, alcohol abuse, several traumas including a major head injury that necessitated a craniotomy, and radiological features of neurocysticercosis. The autologous bone flap, which was replaced after the craniotomy, had resorbed significantly away from the edges of the injury...
April 11, 2018: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/29629228/cranial-autologous-bone-flap-resorption-after-a-cranioplasty-a-case-report
#2
Sabrina A de França, Thales B Nepomuceno, Wellingson S Paiva, Almir F Andrade, Manoel J Teixeira, Wagner M Tavares
Background: Craniectomies and cranioplasty are common neurosurgical procedures performed after brain trauma, ischemia, tumor resection, or infection. Post-cranioplasty autologous bone flap resorption may occur in patients after delayed cranial reconstruction. The occurrence is usually low when bone flaps are stored in subcutaneous abdominal tissue. We report a unique case of post-cranioplasty cranial bone flap. Case Description: We report a total autologous bone flap resorption in a 28-year-old man with a history of alcohol abuse...
2018: Surgical Neurology International
https://www.readbyqxmd.com/read/29626687/aseptic-bone-flap-resorption-after-cranioplasty-with-autologous-bone-incidence-risk-factors-and-clinical-implications
#3
Jang Hun Kim, Jong Hyun Kim, Taek-Hyun Kwon, Kyuha Chong, Soon-Young Hwang, Won Ki Yoon
No abstract text is available yet for this article.
April 4, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29625304/independent-factors-affecting-postoperative-complication-rates-after-custom-made-porous-hydroxyapatite-cranioplasty-a-single-center-review-of-109-cases
#4
Megan Still, Abdoulaye Kane, Alexandre Roux, Marc Zanello, Edouard Dezamis, Eduardo Parraga, Xavier Sauvageon, Jean-François Meder, Johan Pallud
BACKGROUND: Cranioplasties are an important neurosurgical procedure not only for improved cosmesis, but also for improved functional recover after craniectomy with a large cranial defect. The aim of this study was to identify predictive factors of post-cranioplasty complications using custom-made porous hydroxyapatite cranioplasty. METHODS: A retrospective review was conducted of all patients who underwent a reconstructive cranioplasty using custom-made hydroxyapatite at our institution between February 2008 to September 2017...
April 3, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29622505/preoperative-lumbar-drainage-placement-for-surgical-cranioplasty
#5
Henrik Giese, Jennifer Meyer, Andreas Unterberg, Christopher Beynon
OBJECTIVE: Intraoperative reduction of cerebrospinal fluid may be required in patients undergoing cranioplasty (CP) surgery, especially in the presence of bulging cranial defects. Direct cannulation of the frontal horn of the lateral ventricle is associated with risks such as intracerebral haemorrhage or postoperative leakage of cerebrospinal fluid. Here we report our initial experiences with preoperative lumbar drain (LD) placement for cranioplasty surgery in patients with bulging cranial defects...
April 2, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29621073/normalization-of-speech-processing-after-whole-vault-cranioplasty-in-sagittal-synostosis
#6
Carolyn Chuang, Max Rolison, Jenny F Yang, Eric D Brooks, Peter W Hashim, Roberto Travieso, Jordan Terner, Derek M Steinbacher, Nicole Landi, Katherine K M Stavropoulos, Linda C Mayes, John A Persing, James C McPartland
BACKGROUND: Neurocognitive studies have found impairments in language-related abilities in nonsyndromic craniosynostosis, highlighting clinical importance of early language processing. In this study, neural response to speech sounds in infants with nonsyndromic sagittal craniosynostosis (NSC) is compared, preoperatively and postoperatively, using event-related potentials (ERPs) to objectively characterize development in language processing. METHODS: Electroencephalogram was recorded while 39 infants (12 NSC and 27 controls; ages 73-283 days) listened to the Hindi dental /da/ and retroflex /da/ phonemes (non-native phonemic discrimination task)...
April 4, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29580020/ideally-how-early-should-cranioplasty-be-performed-days-weeks-or-months-following-decompressive-craniectomy-surgery-to-label-as-optimal-early-cranioplasty-big-enigma
#7
https://www.readbyqxmd.com/read/29570518/surgical-treatment-of-nonsyndromic-unicoronal-craniosynostosis
#8
Jake Alford, Christopher A Derderian, James M Smartt
PURPOSE: Unicoronal synostosis (UCS) remains one of the most difficult craniofacial conditions to treat. This review attempts to consolidate all existing literature from the past 25 years that has investigated surgical treatment of nonsyndromic UCS. Additional attention is paid to specific areas of controversy regarding surgical management and evaluation of UCS: outcomes of fronto-orbital advancement (FOA) versus endoscopic strip craniectomy (ESC), emergence of spring-associated cranioplasty for craniosynostosis, and morphologic assessment metrics...
March 22, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29567873/-two-cases-of-difficult-to-treat-acute-epidural-hematoma-and-a-review-of-decompressive-craniectomy-with-hematoma-evacuation
#9
Takanari Okamoto, Kunihiko Umezawa, Syogo Ogita, Kunikazu Kurosaki, Tetsuro Takegami, Satoshi Kimura
INTRODUCTION: Decompressive craniectomy(DC)with craniotomy for acute epidural hematoma(AEDH)removal is controversial. Here, we summarized two difficult AEDH cases where DC was performed. CASE 1:A 26-year-old man sustained a head injury in a bicycle accident, with a Japan Coma Scale(JCS)score of 200, right pupil mydriasis, and a left decerebrate posture on admission. Computed tomography(CT)revealed right AEDH with a midline shift. Craniotomy was performed without DC. Postoperatively, his consciousness level and anisocoria improved(JCS score, 30)...
March 2018: No Shinkei Geka. Neurological Surgery
https://www.readbyqxmd.com/read/29566469/volumetric-lipoinjection-of-the-fronto-orbital-and-temporal-complex-with-adipose-stem-cells-for-the-aesthetic-restoration-of-sequelae-of-craniosynostosis
#10
Yanko Castro-Govea, Amin Vela-Martinez, Luis Alberto Treviño-Garcia
BACKGROUND: Non-syndromic craniosynostosis causes craniofacial asymmetry and may persist after cranioplasty. These postoperative asymmetries are primarily depressions. In some cases, patients may be subjected to pranks and harassment by their peers, affecting their psychosocial development. We propose lipoinjection enriched with adipose stem cells (ASCs) to treat the sequelae of craniosynostosis in the fronto-orbital and temporal complex in cranioplasty patients, with the goal of improving the appearance of the upper third of the face...
March 2018: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29561489/isolated-post-shunt-metopic-synostosis-and-neural-tube-defects
#11
William Abouhassan, John Kuang Chao, Ananth S Murthy
BACKGROUND: Craniosynostosis is an uncommon complication after shunting procedures for congenital hydrocephalus. We report a case of a child with myelomeningocele and normocephaly at the time of birth. She underwent ventricular shunting for Chiari malformation and hydrocephalus at 3 days of age. An immediate postoperative CT scan confirmed all sutures were open. Serial CT scans document an open metopic suture at 2 months, closed metopic suture at 5 months, and trigonocephaly at 11 months with concomitant slit ventricle syndrome, and collapsed lateral and third ventricles...
March 20, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29554074/cranioplasty-an-institutional-experience
#12
Aderaldo Costa Alves Junior, Pedro Tadao Hamamoto Filho, Marcelo Pacheco Gonçalves, Aristides Augusto Palhares Neto, Marco Antonio Zanini
Cranioplasty is a common procedure in neurosurgical practice, but associated with high complication rates. In the current study, the authors describe surgical characteristics and results of cranioplasty performed in a tertiary teaching hospital in Brazil. Data were obtained from electronic medical records of cranioplasties performed between January 2013 and November 2016. The sample comprised of 33 patients, and the mean follow-up time was 16 months. Patients presented most of the times a good preoperative status, with 84...
March 16, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29549811/surgical-results-of-cranioplasty-using-three-dimensional-printing-technology
#13
Cheng-Hsin Cheng, Hao-Yu Chuang, Hung-Lin Lin, Chun-Lin Liu, Chun-Hsu Yao
OBJECT: The aim of this research was to evaluate the surgical outcome of a new three-dimensional printing (3DP) technique using prefabrication molds and polymethyl methacrylate (PMMA). PATIENTS AND METHODS: The study included 10 patients with large skull defects (>100 cm2 ) who underwent cranioplasty. The causes of the skull defects were trauma (6), bone resorption (2), tumor (1), and infection (1). Before the operation, computed tomography (CT) scans were used to create a virtual plan, and these were then converted to 3-dimensional (3-D) images...
March 9, 2018: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29547166/surgical-nuances-in-the-separation-of-craniopagus-twins-our-experience-and-a-follow-up-of-15-years
#14
Muralidhar Pai K, R Chandrasekhar Naidu, A Raja, Y S Rai, Niranjan Kumar, Anand Kini, Santhosh Joseph, Vinod Hegde, H S Ballal, Ramoorthi Rao, Saroja V Sharma, Vinay Kumar Valakatte
Craniopagus twins are conjoined twins fused at the cranium. This is the rarest anomaly seen in conjoined twins and craniopagus twins account for 2- 6% of conjoined twins. Conjoined twins are also extremely rare, with the anomaly seen in about 10-20 subjects per billion births. A female preponderance has been noted. Craniopagus twins can be classified into complete or partial, depending on whether or not they have shared dural venous sinuses. They can be further classified into angular or total depending on the alignment of the inter-twin longitudinal axis...
March 2018: Neurology India
https://www.readbyqxmd.com/read/29546554/a-randomised-controlled-trial-comparing-autologous-cranioplasty-with-custom-made-titanium-cranioplasty-long-term-follow-up
#15
Stephen Honeybul, David Anthony Morrison, Kwok M Ho, Christopher R P Lind, Elizabeth Geelhoed
OBJECTIVE: To compare the long-term outcomes of patients who had been randomly allocated to receive primary titanium cranioplasty or autologous bone graft following decompressive craniectomy. METHODS: Sixty-four patients had been previously enrolled and randomised to receive either their own bone graft or a primary titanium cranioplasty. Functional and cosmetic outcomes had previously been assessed at 1-year following the cranioplasty procedure. Hospital records and the Picture Archiving communication system were reviewed to determine how many patients had cranioplasty failure or associated complications such as seizures beyond 1 year-with a minimum of 24-month follow-up...
March 15, 2018: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29540048/cranioplasty-brescia-protocol-for-zero-postsurgical-site-infection
#16
Roberto Stefini, Liana Signorini
No abstract text is available yet for this article.
April 2018: Journal of Neurosurgical Sciences
https://www.readbyqxmd.com/read/29533254/risk-factors-for-titanium-mesh-implant-exposure-following-cranioplasty
#17
Talha Maqbool, Adam Binhammer, Paul Binhammer, Oleh M Antonyshyn
PURPOSE: Titanium mesh is used to reconstruct the neurocranium in cranioplasties. Though it is generally well-tolerated, erosion of the overlying soft tissue with exposure of the implant is a complication that adversely affects patient outcomes. The purpose of this study is to investigate potential risk factors for titanium mesh exposure. METHODS: This study comprises all consecutive patients who underwent titanium mesh cranioplasty between January 2000 and July 2016...
March 12, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29533253/complications-of-cranioplasty
#18
Nanda Kishore Sahoo, Kapil Tomar, Ankur Thakral, N Mohan Rangan
Cranioplasty is a time-honoured surgical procedure to restore the calvarial form and function that is associated with a relatively high complication rate. The present article analyzed various complications and reviewed the complications based on study of the relevant research in the craniofacial literature. Complications were broadly divided into 2 groups, intraoperative and postoperative, for ease of understanding. The etiological factors, local and systemic condition of the patient, prevention, and management of various complications were widely discussed...
March 12, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29521751/polymethyl-methacrylate-custom-made-prosthesis-a-novel-three-dimension-printing-aided-fabrication-technique-for-cranial-and-or-orbital-reconstruction
#19
Pedro Martinez-Seijas, Luis A Díaz-Galvis, Josué Hernando, Ignacio O Leizaola-Cardesa, Antonio Aguilar-Salvatierra, Gerardo Gómez-Moreno
BACKGROUND: Over the years, many materials have been used in orbital reconstruction and cranioplasty. Among the materials in current use, polymethyl methacrylate (PMMA) offers a high degree of compatibility with human tissue. OBJECTIVE: This work describes a new, custom-made, 3D printing-aided, prosthetic fabrication process for orbital and/or cranial reconstruction using PMMA. METHODS: On the basis of information obtained from computerized tomography scanning processed in Digital Imaging and Communication in Medicine format and exported to treatment planning software, a 3D prosthesis master model was designed and digitally printed...
March 8, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29521746/conservative-treatment-for-delayed-infection-after-cranioplasty-with-titanium-alloy
#20
Yuanwei Hu, Xiang Li, Ruirui Zhao, Kang Zhang
Cranioplasty (CP) is considered a low-risk operation in the field of neurosurgery following decompression craniectomy. Nevertheless, CP is still burdened by surgical complications, among which early or late infections are the most common outcome-threatening ones. Most of infection cases occur within a week after CP. Except that, implant-associated scalp infection is the most common complication, and leads to implant removal in many patients with refractory and recurrent infection. The authors reported a patient presenting with epidural infection about 3 months after titanium implant and cured by anti-infective treatment for 2 weeks...
March 8, 2018: Journal of Craniofacial Surgery
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