Liu Yueqi, Xie Shao, Ding Jiahai, Zhang Yushun, Deng Liyi, Yao Yuancheng, Xiong Yang, Chen Yuliang, Wang Lei, Liu Yong
From the Department of Ophthalmology, the First Affiliated Hospital of Soochow University, Jiangsu, China.
Department of Neurosurgery, Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Plast Reconstr Surg Glob Open. 2024 Aug 15;12(8):e6007. doi: 10.1097/GOX.0000000000006007. eCollection 2024 Aug.
Calvarial reconstruction of complex frontal bone defects after head trauma surgery is challenging, especially when it coexists with an absence of eyebrow arch and supraorbital wall. Due to various reasons, the patient's bone flap could not be used. Common alternative materials include polyetheretherketone (PEEK) and titanium. Careful and detailed planning is required to maximize functional and aesthetic reconstruction, thereby benefiting the patient. We present a case of a 36-year-old man who had multiple frontal bone defects after multiple operations for craniofacial fractures performed with reconstruction surgery using a PEEK implant successfully. With a follow-up for 2 years, the patient was satisfied with the long-term aesthetic effect without any consequences such as surrounding tissue infection or implant displacement. The authors believe that the PEEK implant has great potential for calvarial reconstruction due to its incredible strength, durability, and inertness.
颅脑外伤手术后复杂额骨缺损的颅骨重建具有挑战性,尤其是当同时存在眉弓和眶上壁缺失时。由于各种原因,患者的骨瓣无法使用。常见的替代材料包括聚醚醚酮(PEEK)和钛。需要进行仔细而详细的规划,以实现功能和美学重建的最大化,从而使患者受益。我们报告一例36岁男性患者,其在多次颅面骨折手术后出现多处额骨缺损,使用PEEK植入物成功进行了重建手术。经过2年的随访,患者对长期美学效果满意,未出现周围组织感染或植入物移位等任何问题。作者认为,PEEK植入物因其令人难以置信的强度、耐用性和惰性,在颅骨重建方面具有巨大潜力。