Ankara Education and Research Hospital, Department of Neurosurgery, Ankara, Turkey.
Turk Neurosurg. 2022;32(5):841-844. doi: 10.5137/1019-5149.JTN.37476-21.1.
To discuss four different materials that are frequently used in cranioplasty, and to reveal their advantages and disadvantages.
We retrospectively reviewed 85 of our cranioplasty surgeries between 2016 and 2019. Reconstruction surgeries were excluded from our study due to craniofacial trauma.
Of the materials used in cranioplasty, 33 are autologous bone, 32 are methyl-methacrylate, 12 are porous polyethylene, and 8 are titanium mesh. Complications developed in 16 patients. Of these, 10 are infection, 3 are flap collapse, 2 are wound healing disorders, and 1 is reactive effusion complications due to the used material. The highest complication rate was 21.9% in cranioplasty with methyl-methacrylate. No major complications were observed in cranioplasty with titanium mesh.
Cranioplasty, which are among the surgeries with high complications in neurosurgery, maintain their importance today. As technology is developed and cost problems are resolved, cranioplasty takes its place among the safer and standard neurosurgical operations.
讨论四种常用于颅骨修补术的不同材料，并揭示它们的优缺点。
我们回顾性分析了 2016 年至 2019 年间的 85 例颅骨修补术。由于颅面外伤，我们的研究排除了重建手术。
在颅骨修补术中使用的材料中，33 例为自体骨，32 例为甲基丙烯酸甲酯，12 例为多孔聚乙烯，8 例为钛网。16 例患者出现并发症。其中，10 例为感染，3 例为皮瓣塌陷，2 例为伤口愈合障碍，1 例为所用材料引起的反应性积液并发症。甲基丙烯酸甲酯颅骨修补术的并发症发生率最高，为 21.9%。钛网颅骨修补术无严重并发症。
颅骨修补术是神经外科中并发症发生率较高的手术之一，在今天仍然具有重要意义。随着技术的发展和成本问题的解决，颅骨修补术在更安全和标准的神经外科手术中占有一席之地。
