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Anterior skull defect reconstruction with methyl methacrylate
A C Robinson1, T P O'Dwyer, P J Gullane
1Department of Otolaryngology, University of Toronto, Ontario, Canada.
The Journal of Otolaryngology
|August 1, 1989
Summary
A rare case of fronto-ethmoid squamous cell carcinoma in a young man required extensive surgery, resulting in cosmetic deformity. Cranioplasty using a methyl methacrylate template successfully restored appearance by utilizing dural osteogenesis.
Area of Science:
- Neurosurgery
- Oncology
- Plastic Surgery
Background:
- Squamous cell carcinoma (SCC) of the fronto-ethmoid complex is rare, particularly in young adults.
- Surgical resection of extensive tumors in this region can lead to significant cosmetic defects.
Observation:
- A large surgical defect following tumor resection necessitated reconstruction.
- Post-operative imaging revealed calcification and possible ossification of the dura mater.
Findings:
- The dura mater exhibited sufficient firmness to support a methyl methacrylate cranioplasty template.
- The custom-fitted methyl methacrylate plate, secured to the bone, provided an excellent cosmetic outcome.
Implications:
- This case highlights the potential for dural osteogenesis to aid in complex skull base reconstructions.
- Methyl methacrylate cranioplasty offers a viable solution for restoring facial contour after extensive oncological resections.
- Review of cranioplasty techniques is essential for managing challenging surgical defects.