Titanium mesh implants exposure after cranioplasty in two children: involvement of osteogenesis?
| Autor: | Fen-chun Lin, Jian Lin, Nu Zhang, Han-song Sheng, Mao-de Wang, Fang Shen, Bo Yin |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Complications medicine.medical_treatment lcsh:Surgery chemistry.chemical_element Dentistry lcsh:RC346-429 Cranioplasty 03 medical and health sciences 0302 clinical medicine Osteogenesis Medicine Children lcsh:Neurology. Diseases of the nervous system business.industry lcsh:RD1-811 Titanium mesh Surgery medicine.anatomical_structure Neurology chemistry 030220 oncology & carcinogenesis Scalp Decompressive craniectomy Neurology (clinical) Neurosurgery Implant business Complication 030217 neurology & neurosurgery Pediatric population Titanium |
| Zdroj: | Chinese Neurosurgical Journal, Vol 3, Iss 1, Pp 1-4 (2017) |
| ISSN: | 2057-4967 |
| DOI: | 10.1186/s41016-017-0072-9 |
| Popis: | Background Although technically regarded as a simple procedure, titanium mesh cranioplasty could lead to various surgical complications, including postoperative implant exposure. However, there is little data available on the occurrence and risk factors of this complication in the pediatric population. Cases presentation Two pediatric male patients, one 12-year-old and one 7-year-old, had decompressive craniectomy after traumatic brain injuries and subsequent cranioplasty with titanium mesh. However, both patients had skin defects developed gradually at the scalp adjacent to the surgical incisions, 11 and 7 months after cranioplasty, respectively. Implants removal surgeries were then delivered and, during the operation, some bone debris were found just beneath the skin defects in both patients. Because microbiological culture results of the exudations were negative, in addition to the long interval between cranioplasty and developments of skin defects, surgical infections might not be major causes of the observed titanium implants exposures. On the other hand, local osteogenesis and impaired scalp blood supply might contribute to their occurrence. Conclusions Efforts should be made to achieve complete clearance of bone debris and protect scalp blood supply during the initial decompressive craniectomy in order to minimize the risks of subsequent titanium mesh exposures. |
| Databáze: | OpenAIRE |
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