TY - JOUR
T1 - Single-staged resections and 3D reconstructions of the nasion, glabella, medial orbital wall, and frontal sinus and bone
T2 - Long-term outcome and review of the literature
AU - Ciporen, Jeremy
AU - Lucke-Wold, Brandon
AU - Mendez, Gustavo
AU - Chen, Anton
AU - Banerjee, Amit
AU - Akins, Paul
AU - Balough, Ben
N1 - Publisher Copyright:
© 2016 Surgical Neurology International.
PY - 2016
Y1 - 2016
N2 - Background: Aesthetic facial appearance following neurosurgical ablation of frontal fossa tumors is a primary concern for patients and neurosurgeons alike. Craniofacial reconstruction procedures have drastically evolved since the development of three-dimensional computed tomography imaging and computer-assisted programming. Traditionally, two-stage approaches for resection and reconstruction were used; however, these two-stage approaches have many complications including cerebrospinal fluid leaks, necrosis, and pneumocephalus. Case Description: We present two successful cases of single-stage osteoma resection and craniofacial reconstruction in a 26-year-old female and 65-year-old male. The biopolymer implants were preselected and contoured based on imaging prior to surgery. The ideal selection of appropriate flaps for reconstruction was imperative. The flaps were well vascularized and included a pedicle for easy translocation. Using a titanium mesh biopolymer implant for reconstruction in conjunction with a forehead flap proved advantageous, and the benefits of single-stage approaches were apparent. The patients recovered quickly after the surgery with complete resection of the osteoma and good aesthetic appearance. The flap adhered to the biopolymer implant, and the cosmetic appearance years after surgery remained decent. The gap between the bone and implant was less than 2 mm. The patients are highly satisfied with the symmetrical appearance of the reconstruction. Conclusions: Advances in technology are allowing neurosurgeons unprecedented opportunities to design complex yet feasible single-stage craniofacial reconstructions that improve a patient′s quality of life by enhancing facial contours, aesthetics, and symmetry.
AB - Background: Aesthetic facial appearance following neurosurgical ablation of frontal fossa tumors is a primary concern for patients and neurosurgeons alike. Craniofacial reconstruction procedures have drastically evolved since the development of three-dimensional computed tomography imaging and computer-assisted programming. Traditionally, two-stage approaches for resection and reconstruction were used; however, these two-stage approaches have many complications including cerebrospinal fluid leaks, necrosis, and pneumocephalus. Case Description: We present two successful cases of single-stage osteoma resection and craniofacial reconstruction in a 26-year-old female and 65-year-old male. The biopolymer implants were preselected and contoured based on imaging prior to surgery. The ideal selection of appropriate flaps for reconstruction was imperative. The flaps were well vascularized and included a pedicle for easy translocation. Using a titanium mesh biopolymer implant for reconstruction in conjunction with a forehead flap proved advantageous, and the benefits of single-stage approaches were apparent. The patients recovered quickly after the surgery with complete resection of the osteoma and good aesthetic appearance. The flap adhered to the biopolymer implant, and the cosmetic appearance years after surgery remained decent. The gap between the bone and implant was less than 2 mm. The patients are highly satisfied with the symmetrical appearance of the reconstruction. Conclusions: Advances in technology are allowing neurosurgeons unprecedented opportunities to design complex yet feasible single-stage craniofacial reconstructions that improve a patient′s quality of life by enhancing facial contours, aesthetics, and symmetry.
KW - Biopolymers
KW - craniofacial reconstruction
KW - implants
KW - osteoma
KW - single-stage approach
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U2 - 10.4103/2152-7806.196773
DO - 10.4103/2152-7806.196773
M3 - Article
AN - SCOPUS:85009110174
SN - 2152-7806
VL - 7
SP - S1107-S1112
JO - Surgical Neurology International
JF - Surgical Neurology International
IS - 44
ER -