EVALUATING THE RESULT OF CRANIOPLASTY USING 3D TITANIUM SCREW MESH

Đức Mạnh Lê, Trung Kiên Nguyễn, Thành Bắc Nguyễn

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Abstract

Objective: Describe the clinical characteristics and evaluate the results of cranioplasty with 3D titanium screw mesh at hospital 175, hospital 103 and hospital 108. Subject and method: 52 patients underwent cranioplasty with 3D Titanium at Hospital 103, Military Central Hospital 108 and Hospital 175, from January 2021 to August 2023. Results: Headache and pain at the skull defect are the most common symptoms with rates of 67.31% and 46.15% of cases, respectively. After surgery, 94.23% of patients had at least one positive result or more. The overall complication rate after surgery was 17.31%. There were no cases of death after surgery. Common complications are: new seizures (9.62%), hydrocephalus (3.85%), fluid-air collection under the patch (3.85%)... Group of patients with VP- Previous shunts or infections related to previous surgery have a higher rate of postoperative complications than the other groups. No relationship has been found between a number of other factors such as age, gender, and comorbidities. According to the location of the skull defect or the initial cause of complications after thoracotomy with Titanium 3D. Conclusion: Titanium 3D can be an ideal replacement material for cases of skull defects where there is no autologous bone left for grafting

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References

1. Aarabi B, Hesdorffer DC, Ahn ES, Aresco C, Scalea TM, Eisenberg HM. Outcome following decompressive craniectomy for malignant swelling due to severe head injury. J Neurosurg 2006; 104:469 79
2. Winkler PA, Stummer W, Linke R, Krishnan KG, Tatsch K. Influence of cranioplasty on postural blood flow regulation, cerebrovascular reserve capacity, and cerebral glucose metabolism. J Neurosurg 2000;93:53 6
3. Brommeland, Tor, et al. "Cranioplasty complications and risk factors associated with bone flap resorption." Scandinavian journal of trauma, resuscitation and emergency medicine 23.1 (2015): 1-7.
4. Roh H, Kim J, Kim JH, et al. Analysis of Complications After Cranioplasty with a Customized Three-Dimensional Titanium Mesh Plate. World Neurosurg. 2019;123: e39-e44. doi:10.1016/j.wneu.2018.10.227
5. Mukherjee S, Thakur B, Haq I, Hettige S, Martin AJ. Complications of titanium cranioplasty--a retrospective analysis of 174 patients. Acta Neurochir (Wien). 2014;156(5): 989-998; discussion 998. doi: 10.1007/s00701-014-2024-x
6. De Cola MC, Corallo F, Pria D, Lo Buono V, Calabrò RS. Timing for cranioplasty to improve neurological outcome: A systematic review. Brain Behav. 2018; 8(11): e01106. doi:10.1002/ brb3.1106
7. Williams, L. R., K. F. Fan, and R. P. Bentley. "Custom-made titanium cranioplasty: early and late complications of 151 cranioplasties and review of the literature." International journal of oral and maxillofacial surgery 44.5 (2015): 599-608.
8. Fodstad H, Love JA, Ekstedt J, Fridén H, Liliequist B. Effect of cranioplasty on cerebrospinal fluid hydrodynamics in patients with the syndrome of the trephined. Acta Neurochir (Wien) 1984;70:21 30
9. Honeybul, Stephen, et al. "A randomized controlled trial comparing autologous cranioplasty with custom-made titanium cranioplasty." Journal of neurosurgery 126.1 (2017): 81-90.