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A large calvarial bone defect in a child : osseointegration of an implant |
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| Author: | Piitulainen, Jaakko M.1,2; Posti, Jussi P.3,4,2; Vallittu, Pekka K.2,5; |
| Organizations: |
1Department of Otorhinolaryngology–Head and Neck Surgery, Division of Surgery and Cancer Diseases, Turku University Hospital, University of Turku, Turku, Finland 2Department of Biomaterials Science and Turku Clinical Biomaterials Centre, Institute of Dentistry, University of Turku, Turku, Finland 3Department of Neurosurgery, Division of Clinical Neurosciences, Turku University Hospital, University of Turku, Turku, Finland
4Turku Brain Injury Centre, Turku University Hospital, University of Turku, Turku, Finland
5City of Turku Welfare Division, Turku, Finland 6Department of Children and Adolescents, Oulu University Hospital, Oulu, Finland 7Medical Research Center Oulu and PEDEGO Research Unit, University of Oulu, Oulu, Finland |
| Format: | article |
| Version: | accepted version |
| Access: | open |
| Online Access: | PDF Full Text (PDF, 3.6 MB) |
| Persistent link: | http://urn.fi/urn:nbn:fi-fe2019070322646 |
| Language: | English |
| Published: |
Elsevier,
2019
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| Publish Date: | 2020-04-30 |
| Description: |
AbstractBackground: This original report describes the outcome of a cranioplasty at long-term follow-up. A large calvarial bone defect of a child was reconstructed with a bioactive and biostable nonmetallic implant. Case Description: In a child with infantile fibrosarcoma of occipital bone, the malignancy was removed at 2.5 years of age, and the defect site was reconstructed with an onlay glass fiber-reinforced composite–bioactive glass implant. The follow-up examination at 5 years 7 months showed no signs of tumor recurrence. During the follow-up period, the contour of the reconstructed area followed skull anatomic development. Computed tomography demonstrated considerably large areas (approximately 70% of the total area) of bone ongrowth to the peridural surface of the implant. Conclusions: In the future, a synthetic cranioplasty material that is able to integrate with cranial bone may be considered superior to cryopreserved bone grafts in younger age groups. see all
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| Series: |
World neurosurgery |
| ISSN: | 1878-8750 |
| ISSN-E: | 1878-8769 |
| ISSN-L: | 1878-8750 |
| Volume: | 124 |
| Pages: | 282 - 286 |
| DOI: | 10.1016/j.wneu.2019.01.028 |
| OADOI: | https://oadoi.org/10.1016/j.wneu.2019.01.028 |
| Type of Publication: |
A1 Journal article – refereed |
| Field of Science: |
3126 Surgery, anesthesiology, intensive care, radiology 3123 Gynaecology and paediatrics |
| Subjects: | |
| Funding: |
J.P. Posti receives funding support from the Government’s Special Financial Transfer for academic research in health sciences (Finland), Emil Aaltonen Foundation, and Finnish Brain Foundation. J.M. Piitulainen receives funding support from the Finnish Association of Otorhinolaryngology and Head and Neck Surgery. |
| Copyright information: |
© 2019 Elsevier Inc. All rights reserved. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/. |
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https://creativecommons.org/licenses/by-nc-nd/4.0/ |