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Titolo:
A technique for rigid fixation of methyl methacrylate cranioplasty: The vault-locking method
Autore:
Gibbons, KJ; Hicks, WL; Guterman, LR;
Indirizzi:
SUNY Buffalo, Dept Neurosurg, Sch Med & Biomed Sci, Buffalo, NY 14209 USA SUNY Buffalo Buffalo NY USA 14209 Med & Biomed Sci, Buffalo, NY 14209 USA SUNY Buffalo, Dept Otolaryngol, Sch Med & Biomed Sci, Buffalo, NY 14209 USA SUNY Buffalo Buffalo NY USA 14209 Med & Biomed Sci, Buffalo, NY 14209 USA
Titolo Testata:
SURGICAL NEUROLOGY
fascicolo: 3, volume: 52, anno: 1999,
pagine: 310 - 314
SICI:
0090-3019(199909)52:3<310:ATFRFO>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACOUSTIC NEUROMA REMOVAL; HEADACHE; IMPACT;
Keywords:
cranioplasty; methyl methacrylate; skull defect;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
9
Recensione:
Indirizzi per estratti:
Indirizzo: Gibbons, KJ SUNY Buffalo, Dept Neurosurg, Sch Med & Biomed Sci, 3 Gates Circle, Buffalo, NY 14209 USA SUNY Buffalo 3 Gates Circle Buffalo NY USA 14209 NY 14209 USA
Citazione:
K.J. Gibbons et al., "A technique for rigid fixation of methyl methacrylate cranioplasty: The vault-locking method", SURG NEUROL, 52(3), 1999, pp. 310-314

Abstract

BACKGROUND Current treatment of difficult to reach lesions of the central nervous system favors extensive bone removal for improved visualization andaccess with minimal brain retraction. Particularly in the posterior fossa,bone is often removed piecemeal, and a standard craniotomy flap is not always available for simple reattachment. Cranioplasty with methyl methacrylate is used to provide cosmesis and neural protection. A method for the fixation of methyl methacrylate cranioplasty is described, and the results of technique application in 30 patients during a 14-month period are reported. METHODS A series of notches are burred in the cancellous margin of the surrounding cranium, preserving the inner and outer tables. Methyl methacrylate is applied to the defect. Overflow of methyl methacrylate into the notches assures solid fixation. The resultant construct resembles the locking mechanism of a bank vault. No mesh, wire, or miniplates are required. Prolene buttresses may be placed through the outer table of the notches to identifytheir location, should removal of the plasty be required. Removal of the outer table over the notches facilitates rapid removal. RESULTS Solid plasty and good cosmesis occurred in all patients. There were no infections or complications related to this technique. CONCLUSIONS Firm fixation, molding and hardening in situ, and technical ease are potential advantages over established methods of cranioplasty. (C) 1999 by Elsevier Science Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/09/20 alle ore 16:11:28