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[Cranioplasty with polymethylmethacrylate. The clinico-statistical considerations]
D Luparello1, S Bruschi, G Verna
1Dipartimento di Chirurgia Plastica e Ricostruttiva, Università degli Studi, Torino.
Minerva Chirurgica
|October 17, 1998
Summary
Cranial reconstruction using polymethylmethacrylate acrylic resin offers excellent functional and aesthetic outcomes. This material provides satisfactory results with a low complication rate, ensuring brain protection.
Area of Science:
- Neurosurgery
- Materials Science
Background:
- Cranial reconstruction aims to protect the brain while addressing functional and aesthetic needs.
- Bone defects in the cranial vault can result from neoplasms or trauma.
Observation:
- Thirty-six cases of cranial vault reconstruction using polymethylmethacrylate acrylic resin were analyzed.
- Surgical technique involved preparing the acrylic resin at the operating table for direct molding to the defect.
Findings:
- Polymethylmethacrylate (PMMA) demonstrated satisfactory results with a low infectious complication rate of 2.7%.
- One-third of patients experienced considerable clinical improvement post-repair.
Implications:
- PMMA's plasticity and stability ensure reliable functional and aesthetic restoration in cranial reconstruction.
- Delayed repair (average 11 months) in traumatic cases may reduce infectious complications.