Immediate Titanium Mesh Cranioplasty for Treatment of Postcraniotomy Infections

Overview

Journal World Neurosurg

Publisher Elsevier

Date 2011 Nov 29

PMID 22120410

Citations 12

Authors

Joshua J Wind

Chima Ohaegbulam

Fabio M Iwamoto

Peter M Black

John K Park

Affiliations

Soon will be listed here.

Abstract

Objective: Postcraniotomy infections have generally been treated by debridement of infected tissues, disposal of the bone flap, and delayed cranioplasty several months later to repair the resulting skull defect. Debridement followed by retention of the bone flap has also been advocated. Here we propose an alternative operative strategy for the treatment of postcraniotomy infections.

Methods: Two patients presenting with clinical and radiographic signs and symptoms of postcraniotomy infections were treated by debridement, bone flap disposal, and immediate titanium mesh cranioplasty. The patients were subsequently administered antibiotics, and their clinical courses were followed.

Results: The patients treated in this fashion did not have recurrence of their infections during 3-year follow-up periods.

Conclusions: Surgical debridement, bone flap disposal, and immediate titanium mesh cranioplasty may be a suitable option for the treatment of postcraniotomy infections. This treatment strategy facilitates the eradication of infectious sources and obviates the risks and costs associated with a second surgical procedure.

Citing Articles

Finite Element Analysis of Patient-Specific 3D-Printed Cranial Implant Manufactured with PMMA and PEEK: A Mechanical Comparative Study.

Moncayo-Matute F, Vazquez-Silva E, Pena-Tapia P, Torres-Jara P, Moya-Loaiza D, Viloria-Avila T Polymers (Basel). 2023; 15(17).

PMID: 37688247 PMC: 10490355. DOI: 10.3390/polym15173620.

Titanium Versus Autologous Bone-Based Cranioplasty: A Systematic Review and Meta-Analysis.

Capitelli-McMahon H, Kahlar N, Rahman S Cureus. 2023; 15(5):e39516.

PMID: 37366436 PMC: 10290753. DOI: 10.7759/cureus.39516.

Predictors of postoperative epidural hematomas after custom-made porous hydroxyapatite cranioplasty: a single-center experience of 194 consecutive cases.

Bedioui A, Elia A, Still M, Aboubakr O, Leclerc A, Planet M Neurosurg Rev. 2023; 46(1):132.

PMID: 37264174 DOI: 10.1007/s10143-023-02039-8.

Management of infected hydroxyapatite cranioplasty: Is salvage feasible?.

Di Rienzo A, Colasanti R, Dobran M, Formica F, Della Costanza M, Carrassi E Brain Spine. 2022; 2:100907.

PMID: 36248178 PMC: 9560697. DOI: 10.1016/j.bas.2022.100907.

Staged reconstruction of a chronically infected large skull defect using free tissue transfer and a patient-specific polyetheretherketone implant.

Moon S, Jeon H, Kim E, Lew D, Kim Y, Hong J Arch Craniofac Surg. 2020; 21(5):309-314.

PMID: 33143400 PMC: 7644347. DOI: 10.7181/acfs.2020.00311.

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