Abstract

UGALDE-VITELLY, Juan-Antonio et al. Craneoplasty in post-traumatic and postoperative deformity, a 18-year experience at Hospital General de México: a secure reconstructive option. Cir. plást. iberolatinoam. [online]. 2017, vol.43, n.2, pp.157-162. ISSN 1989-2055.

Background and Objective: The skull defects in our center result from descompressive craniectomy after trauma, bony involvement by tumors or infarction, and the cranioplasty will be mandatory if the patient have the syndrome of the trephined or wish to improve their appearance. The ideal material for cranioplasty there will be biocompatible, simple to manufacture, and biomechanically reliable, at least. In our Department, the skull reconstruction is performed with methylmethacrylate prosthesis, designed by stereolithography, and then covered with an onlay fascia lata tendon graft. In our experience this kind of skull reconstruction has been demonstrated secure, predictable and satisfactory results. Methods: We report our initial experience using this technique with a retrospective analysis of 32 patients operated from January 1996 to June 2014 by a multidisciplinary team in the General Hospital of Mexico Dr. Eduardo Liceaga. Results. There were no significant complications related to infection, hematoma or seroma. The aesthetic results have been considered acceptable, to excellent. Conclusions: In our patient series using this technique we collected an extremely low complication rate and an excellent grade of patient satisfaction on long-term follow up.

Keywords : Skull defects; Cranioplasty; Cranial reconstruction; Methylmethacrylate prosthesis; Fascia lata graft.

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