Cranioplasty for repair of a large bone defect in a growing skull fracture in children.
BACKGROUND
In infants, calvarial defects are generally repaired with autologous grafts. However, with large defects, these techniques can be associated with complications such as bone graft resorption, loss of blood, or local infection. Alternative materials are available for cranioplasty including metals or acrylic.


METHODS
We report the case of a 3.2kg boy who had a traumatic vaginal delivery and developed a growing skull fracture resulting in a large cranial defect (50cm(2)). We describe a specific technique of cranioplasty by interposing a titanium plate between the duroplasty and bone elements, without fixation, with autologous bone fragments deposited over the mesh. Long-term follow-up was satisfactory.


CONCLUSIONS
For large skull defects in infants, the technique described affords protection to the intracranial components, induces osteogenesis in a growing cranial skeleton, and provides satisfactory aesthetic results.
Vignes
Jean-Rodolphe
JR
Department of Neurosurgery A, CHU de Bordeaux, University of Bordeaux 2, Bordeaux, France. jean-rodolphe.vignes@chu-bordeaux.fr
Jeelani
N u Owase
Nu
Dautheribes
Michel
M
San-Galli
François
F
Liguoro
Dominique
D
D001720:Birth Injuries / Q000209:etiology / Q000601:surgery; D001860:Bone Plates; D016025:Bone Transplantation / Q000379:methods; D003399:Craniotomy / Q000379:methods*; D004388:Dura Mater / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D008588:Meningocele / Q000601:surgery*; D010012:Osteogenesis; D019651:Plastic Surgery Procedures; D012887:Skull Fractures / Q000209:etiology / Q000601:surgery*; D014025:Titanium; D014620:Vacuum Extraction, Obstetrical / Q000009:adverse effects
D014025:Titanium