title: Modified fixation of acrylic cranioplasty in the setting of titanium allergy.
abstract: Cranioplasty can be performed using a number of materials ranging from autologous tissue to metallic or acrylic alloplastic implants. In this report, we present a unique case of revision cranioplasty in a patient with titanium allergy using a prefabricated, custom-made polymethylmethacrylate implant and a modified fixation technique without plates or screws.
authors.affiliation: From the *Department of Plastic Surgery, Medstar Georgetown University Hospital, and †School of Medicine, Georgetown University, Washington, DC.
authors.forename: Jeremy C
authors.initials: JC
authors.lastname: Sinkin
authors.forename: Sara
authors.initials: S
authors.lastname: Loftin
authors.forename: Stephen B
authors.initials: SB
authors.lastname: Baker
mesh_terms: D000368:Aged; D001672:Biocompatible Materials / Q000009:adverse effects*; D001843:Bone Cements; D003399:Craniotomy; D020878:Device Removal; D005260:Female; D006801:Humans; D006967:Hypersensitivity / Q000209:etiology; D009464:Neuroma, Acoustic / Q000601:surgery*; D019904:Polymethyl Methacrylate; D019736:Prostheses and Implants; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation; D012886:Skull / Q000601:surgery; D014025:Titanium / Q000009:adverse effects*
chemical_list: D001672:Biocompatible Materials; D001843:Bone Cements; D019904:Polymethyl Methacrylate; D014025:Titanium