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[Treatment of skull defects by using plastic material "Codubix"]
W Marć1, Z Wicentowicz, A Sklepowicz
1Oddziału Neurochirurgii Wojewódzkiego Szpitala Nr 2, Rzeszowie.
Neurologia I Neurochirurgia Polska
|January 1, 1992
Summary
Surgical treatment of cranial vault defects using Codubix prostheses showed few early complications, with subgaleal hematoma being the main issue. Late complications were rare, and most patients reported good cosmetic outcomes, though careful fixation is crucial.
Area of Science:
- Neurosurgery
- Biomaterials Science
Context:
- Cranial vault defects pose reconstructive challenges.
- Evaluating synthetic materials for cranial defect repair is essential.
Purpose:
- To assess the early and late outcomes of using Codubix prostheses for surgical repair of cranial vault defects in 46 patients.
Summary:
- The study reports on 46 cases of cranial vault defect reconstruction using Codubix prostheses.
- Early complications were minimal, with subgaleal hematoma (10.8%) being the most frequent issue.
- Late complications occurred in 8.7% of cases, including meningitis, infection, and prosthesis mobility, necessitating removal in some instances.
- Patient-reported outcomes indicated a high satisfaction rate (91%) with the cosmetic results, despite minor late issues like slight plate depression.
Impact:
- Codubix demonstrates potential as a biomaterial for cranial defect filling, offering quick healing and low rates of purulent complications.
- The findings underscore the importance of meticulous prosthesis fixation to minimize late-onset complications and ensure long-term success.