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Cranial reshaping using methyl methacrylate: technical note.

Giulio Gasparini1, Roberto Boniello, Alessandro Moro

  • 1Maxillofacial Surgery Unit and daggerNeurosurgery, Section of Pediatric Neurosurgery, Catholic University Medical School, Rome, Italy. giulio.gasparini@rm.unicatt.it

The Journal of Craniofacial Surgery
|January 24, 2009
PubMed
Summary
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Methyl methacrylate (MMA) offers excellent aesthetic and functional outcomes for cranial reconstruction. A simple layered application technique minimizes complications, making it a preferred choice for cranioplasty in adult patients.

Area of Science:

  • Neurosurgery
  • Plastic Surgery
  • Biomaterials Science

Background:

  • Reconstructing the facial skeleton and cranial vault presents significant challenges.
  • Various grafting materials and biomaterials are used, each with limitations.
  • Methyl methacrylate (MMA) is explored as a viable biomaterial for bone reconstruction.

Purpose of the Study:

  • To present a simple technique for methyl methacrylate (MMA) application in cranial reconstruction.
  • To review the literature on MMA use as an autologous bone substitute.
  • To analyze risks, complications, and outcomes associated with MMA cranioplasty.

Main Methods:

  • A layered application technique for MMA was developed and utilized.
  • MMA was used in 9 patients for cranial reshaping between October 2003 and September 2007.

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  • A comprehensive review of international bibliography regarding MMA use was conducted.

    • Main Results:

    • Excellent aesthetic and functional results were achieved in 8 out of 9 patients.
    • One patient experienced infectious complications requiring MMA removal.
    • The layered technique demonstrated potential in reducing perioperative complications.

    Conclusions:

    • Methyl methacrylate (MMA) remains a material of choice for cranioplasty in adult patients.
    • Sequenced layering of MMA can significantly reduce perioperative complications.
    • The technique offers excellent aesthetic and functional results in cranial reconstruction.