Advances in cranioplasty: a simplified algorithm to guide cranial reconstruction of acquired defects.
The search for a universal reconstructive material and the application of a routine approach leaves the surgeon limited in cranial reconstruction. Facility with a variety of implant materials and approaches helps optimize surgical management. The variability of surgical defects and challenges in cranial reconstruction highlights the importance of a strategic approach to evaluate both the defect and the clinical circumstance. Among the numerous alloplastic materials available, the utility of titanium mesh, hydroxyapatite cement, and prefabricated custom acrylic implants have remained at the forefront. The onus of responsibility remains on the surgeon to evaluate each clinical scenario and select the optimal course for management.
Tadros
Monica
M
Department of Otolaryngology-Head & Neck Surgery, Columbia University, New York, New York 10032, USA.
Costantino
Peter D
PD
D000180:Acrylic Resins; D000273:Adipose Tissue / Q000637:transplantation; D000328:Adult; D000465:Algorithms; D001672:Biocompatible Materials; D001753:Blast Injuries / Q000601:surgery; D001843:Bone Cements / Q000627:therapeutic use; D016025:Bone Transplantation / Q000379:methods; D002559:Cerebrospinal Fluid Rhinorrhea / Q000601:surgery; D017886:Durapatite / Q000627:therapeutic use; D005260:Female; D005624:Frontal Bone / Q000293:injuries; D006801:Humans; D008297:Male; D008875:Middle Aged; D010347:Patient Care Planning; D019736:Prostheses and Implants; D011474:Prosthesis Design; D019651:Plastic Surgery Procedures / Q000379:methods*; D012886:Skull / Q000601:surgery*; D012887:Skull Fractures / Q000601:surgery; D013526:Surgical Mesh; D013701:Temporal Bone / Q000293:injuries; D014025:Titanium
D000180:Acrylic Resins; D001672:Biocompatible Materials; D001843:Bone Cements; D017886:Durapatite; D014025:Titanium