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Heavy metal: beware.

J W Polley1, D E Kim, W T Vigniswarin

  • 1Department of Surgery, University of Illinois at Chicago 60612-7316, USA.

The Journal of Craniofacial Surgery
|November 1, 1996
PubMed
Summary
This summary is machine-generated.

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Metallic mesh implants used for craniofacial reconstruction in a Crouzon's syndrome patient led to complications, necessitating removal and autograft reconstruction. This case highlights the risks associated with metallic alloplasts in complex cases.

Area of Science:

  • Craniofacial surgery
  • Neurosurgery
  • Plastic surgery

Background:

  • Crouzon syndrome is a genetic disorder characterized by premature fusion of cranial sutures.
  • Craniofacial reconstruction often involves alloplastic materials for extensive defects.

Observation:

  • A 19-year-old patient with Crouzon syndrome presented with severe bilateral temporal and frontal depressions.
  • Multiple metal implants were protruding through the scalp, indicating a complicated previous reconstruction.
  • Preoperative imaging revealed an extensive cranial defect previously reconstructed with metallic mesh.

Findings:

  • Complete removal of the metallic mesh implants was required due to complications.
  • Autograft cranial reconstruction was performed successfully after mesh removal.

Related Experiment Videos

  • The extensive cranial defect necessitated a complex surgical approach.

    • Implications:

    • This case underscores the potential complications associated with using metallic alloplasts for major craniofacial reconstructions.
    • Caution and careful consideration are advised when selecting materials for complex craniofacial defects.
    • Alternative reconstruction methods, such as autografts, may be preferable in certain high-risk cases.