Zhou Ming, Li Liang, Sun Hua, Wang Ning, Wu Dan
Department of Joint and Sports Medicine, Zibo Central Hospital.
Department of Burn and Plastic Surgery, Zibo Central Hospital, Shandong, China.
J Craniofac Surg. 2025;36(5):e581-e584. doi: 10.1097/SCS.0000000000011424. Epub 2025 Jun 9.
This study seeks to explore the efficacy of utilizing dermal skin pieces as a potential alternative to mesh removal in cases of titanium mesh exposure after cranioplasty, with the goal of preserving the benefits of the rigid prosthesis.
This retrospective study analyzed patients who underwent treatment at the Department of Burns and Wound Repair Surgery of Zibo Central Hospital between January 2018 and November 2022 with the intention of preserving the titanium mesh. The treatment protocol involved initial wound bed management, including debridement of necrotic tissue and eradication of bacteria, followed by the augmentation of dermal thickness using a dermal pad to maintain the integrity of the titanium mesh.
Eight patients, consisting of 6 males and 2 females with a mean age of 47.5 ± 17.5 years (range, 30-65), were included in the study. The exposed area of the mesh varied from 0.3 × 1 to 2 × 3.0 cm, with the thinning scalp area around the exposed titanium mesh ranging from 1.6 × 1.8 to 2 × 2.5 cm. The hospital stay duration ranged from 21 to 40 days, with all 8 patients achieving primary wound healing. No signs of recurrence were observed during the 6 to 18 months of follow-up, and cranial CT scans showed no abnormalities.
In conclusion, the utilization of dermal skin grafts to cover exposed titanium mesh after cranioplasty may facilitate the preservation of the titanium mesh.
本研究旨在探讨在颅骨成形术后钛网外露病例中，使用真皮片作为去除钛网的潜在替代方法的疗效，以保留刚性假体的益处。
本回顾性研究分析了2018年1月至2022年11月期间在淄博市中心医院烧伤与创面修复外科接受治疗且意图保留钛网的患者。治疗方案包括初始创面床管理，即清除坏死组织和根除细菌，随后使用真皮垫增加真皮厚度以维持钛网的完整性。
8例患者纳入研究，其中男性6例，女性2例，平均年龄47.5±17.5岁（范围30 - 65岁）。钛网外露面积为0.3×1至2×3.0厘米，外露钛网周围头皮变薄区域为1.6×1.8至2×2.5厘米。住院时间为21至40天，所有8例患者均实现一期伤口愈合。在6至18个月的随访期间未观察到复发迹象，头颅CT扫描未见异常。
总之，颅骨成形术后使用真皮移植覆盖外露钛网可能有助于保留钛网。
