A large calvarial bone defect in a child : osseointegration of an implant
Piitulainen, Jaakko M.; Posti, Jussi P.; Vallittu, Pekka K.; Aitasalo, Kalle M.; Serlo, Willy (2019-04-30)
Jaakko M. Piitulainen, Jussi P. Posti, Pekka K. Vallittu, Kalle M. Aitasalo, Willy Serlo, A Large Calvarial Bone Defect in a Child: Osseointegration of an Implant, World Neurosurgery, Volume 124, 2019, Pages 282-286, ISSN 1878-8750, https://doi.org/10.1016/j.wneu.2019.01.028
© 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/.
Background: 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.
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