A case of resorbable mesh cranioplasty in infant, technical considerations, outcome and literature review

Calvaria defects in children present a reconstructive challenge. When autogenous bone is not available, synthetic materials can be used; however, they present many drawbacks limiting their use in infants. Children, especially under the age of two, represent an incomparable limitation and they are in...

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Bibliographic Details
Main Authors: Valentina Baro, Andrea Landi, Stefano Fusetti, Mariagiulia Anglani, Domenico d'Avella, Luca Denaro
Format: Article
Language:English
Published: Elsevier 2020-06-01
Series:Interdisciplinary Neurosurgery
Online Access:http://www.sciencedirect.com/science/article/pii/S2214751919303585
Description
Summary:Calvaria defects in children present a reconstructive challenge. When autogenous bone is not available, synthetic materials can be used; however, they present many drawbacks limiting their use in infants. Children, especially under the age of two, represent an incomparable limitation and they are infrequently reported in literature. The reconstructive strategies presented in the last decades are different without a clear consensus about the best procedure and material for a specific range of age. We report our experience with resorbable mesh cranioplasty using a polylactic acid / polyglycolic acid resorbable mesh plate with bone matrix in a 3-month old child who previously underwent decompressive craniectomy. This reconstructive strategy failed, and the patient was scheduled for a second procedure. After the case presentation, the literature is reviewed and discussed focusing on infants and young children. Keywords: Craniectomy, Cranioplasty, Infant, Resorbable mesh
ISSN:2214-7519