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Cranioplasty for Skull Defects With Polypropylene Abdominal Wall Mesh.
Bashar Abuzayed1, Feras Rawagah1, Mohammad Alrashdan1
1Department of Neurosurgery, Princess Basma Teaching Hospital, Irbid.
The Journal of Craniofacial Surgery
|July 25, 2022
Summary
Polypropylene mesh offers a cost-effective solution for reconstructing small to medium skull defects in cranioplasty. This abdominal mesh is a viable alternative when traditional bone grafts are unavailable, particularly in rural settings.
Area of Science:
- Neurosurgery
- Craniofacial Surgery
- Biomaterials
Background:
- Cranioplasty is a common neurosurgical procedure.
- Bone grafting for skull defects can be challenging in young patients due to limited bone availability.
- Allografts may not be readily accessible in rural healthcare settings.
Purpose of the Study:
- To evaluate the efficacy of polypropylene mesh for cranioplasty.
- To present a series of patients treated with polypropylene mesh for skull defects.
Main Methods:
- Nine male patients with compound depressed skull fractures and resulting defects underwent cranioplasty.
- Polypropylene abdominal wall mesh was used to reconstruct small to medium-sized skull defects.
- The mesh was sutured to the galeal tissue circumferentially.
Main Results:
- All nine patients achieved successful skull defect reconstruction.
- One patient developed a wound infection, successfully treated with antibiotics without mesh removal.
- No complications were observed in the other eight patients during the 4-13 month follow-up period.
Conclusions:
- Polypropylene mesh is an effective and inexpensive material for small to medium skull defect reconstruction.
- This mesh serves as a practical alternative for cranioplasty in rural or low-resource environments.
- It provides a valuable option when standard cranioplasty materials are inaccessible.
