Clinical applications of devitalized autogenous calvarial bone flaps fixed with titanium clamps (CranioFix) for cranioplasty.
- Author:
Jian-Min ZHANG
1
;
Xiao-Min CHEN
;
Gao CHEN
;
Xiang-Dong ZHU
;
Qun WU
;
Xue-Song LIU
;
San-Chao CHEN
;
Shu-You PENG
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Bone Transplantation; methods; Craniotomy; methods; Female; Humans; Middle Aged; Skull; surgery; Surgical Flaps; Titanium; Transplantation, Autologous; Young Adult
- From: Chinese Journal of Plastic Surgery 2005;21(4):252-254
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate reimplantation of devitalized autogenous calvarial bone flaps and the fixation of titanium clamps (CranioFix) for cranioplasty.
METHODSFrom March 2000 to December 2003, 21 patients underwent (1) delayed reimplantation of preserved autogenous bone flaps, which were removed during the initial operations for increased intracranial pressure and stored in a freezer and autoclaved before use, or (2) immediate reimplantation of tumor invaded bone flaps that were devitalized by boiling. All of these flaps were fixed with titanium clamps (CranioFix). Resorption of the bone flaps was monitored by skull roentgenograms and computed tomography (CT). The clinical and aesthetic results were evaluated.
RESULTSDuring the follow-up period of 6 to 30 months, no complications were found. There was slight resorption of the bone flaps in all cases, but the edge of the bone flaps was within the range of the titanium clamps according to skull roentgenograms and CT. Clinical and aesthetic results were highly satisfactory.
CONCLUSIONSIt is simple and practical using devitalized autogenous calvarial bone flaps for cranioplasty. The firmness decreasing of the reimplanted bone flap due to resorption can be prevented greatly by titanium clamps (CranioFix).
