Technical strategies for en bloc resection and immediate reconstruction in hemangioma of the frontal bone.
Hemangioma of the skull is a benign solitary tumor, often found in the frontal or parietal area. A hemangioma lesion typically involves the outer table rather than the inner, but its complete removal at the diploe level is difficult. Full-thickness resection at the calvaria is often needed to ensure a free margin, but it will leave a bony defect that requires reconstruction. Although curettage and covering of the lesion with alloplastic material are a simple treatment option for hemangioma of the skull, it does not always prevent recurrence. Hence, complete resection is needed. As our technical strategies for reconstruction, we organize a split calvarial bone graft if a defect is near the frontal sinus and calcium phosphate cement if it is somewhat far from the sinus.
From the *Departments of Plastic and Reconstructive Surgery and †Neurosurgery, Saga University, Saga, Japan.
Tetsuji
T
Uemura
Kiwako
K
Sawai
Mamoru
M
Kikuchi
Jun
J
Masuoka
Toshio
T
Matsushima
D020341:Absorbable Implants; D000328:Adult; D001843:Bone Cements / Q000627:therapeutic use; D001860:Bone Plates; D018786:Bone Substitutes / Q000627:therapeutic use; D016025:Bone Transplantation / Q000379:methods; D002130:Calcium Phosphates / Q000627:therapeutic use; D005260:Female; D005624:Frontal Bone / Q000601:surgery*; D006391:Hemangioma / Q000601:surgery*; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D012888:Skull Neoplasms / Q000601:surgery*; D014057:Tomography, X-Ray Computed / Q000379:methods
D001843:Bone Cements; D018786:Bone Substitutes; D002130:Calcium Phosphates; C020243:calcium phosphate