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DOI: 10.1055/s-0042-1748656
Cranioplasty Using Three-Dimensional–Printed Polycaprolactone Implant and Free Latissimus Dorsi Musculocutaneous Flap in a Patient with Repeated Wound Problem following Titanium Cranioplasty
Autor*innen
Abstract
Titanium mesh is an alloplastic material widely used for the reconstruction of moderate-to-large skull defects. Repeated wound problems or infection following these reconstructions inevitably lead to the replacement of the cranioplasty material. Among the various alloplastic materials, polycaprolactone implants are usually used for the coverage of small defects such as burr holes. [1] Herein, we present a case of a large cranial defect successfully reconstructed with three-dimensional-printed polycaprolactone implant and a free latissimus dorsi musculocutaneous flap. Until 1-year follow-up, the patient showed a favorable esthetic outcome with no complications or wound relapse.
Ethical Approval
Informed consent was obtained from the patient for the use of medical photographs, writing, and publication of this case report.
Author Contributions
Conceptualization: CY Heo. Data curation: J Oh. Writing - original draft: HT Koo. Writing - review & editing: HT Koo, J Oh, CY Heo. All authors read and approved the final manuscript.
Patient Consent
Informed consent was obtained from all individual participants included in the study.
Publikationsverlauf
Eingereicht: 30. September 2021
Angenommen: 17. Februar 2022
Artikel online veröffentlicht:
13. Dezember 2022
© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Low SW, Ng YJ, Yeo TT, Chou N. Use of osteoplug polycaprolactone implants as novel burr-hole covers. Singapore Med J 2009; 50 (08) 777-780
- 2 Cho HR, Roh TS, Shim KW, Kim YO, Lew DH, Yun IS. Skull reconstruction with custom made three-dimensional titanium implant. Arch Craniofac Surg 2015; 16 (01) 11-16
- 3 Kwiecien GJ, Rueda S, Couto RA. et al. Long-term outcomes of cranioplasty: titanium mesh is not a long-term solution in high-risk patients. Ann Plast Surg 2018; 81 (04) 416-422
- 4 Maqbool T, Binhammer A, Binhammer P, Antonyshyn OM. Risk factors for titanium mesh implant exposure following cranioplasty. J Craniofac Surg 2018; 29 (05) 1181-1186
- 5 Yogishwarappa CN, Srinivasan S, Teoh SH. et al. Customized osteomesh cranioplasty. Journal of Advanced Plastic Surgery Research 2016; 2: 25-32
- 6 Dong L, Dong Y, Liu C. et al. Latissimus dorsi-myocutaneous flap in the repair of titanium mesh exposure and scalp defect after cranioplasty. J Craniofac Surg 2020; 31 (02) 351-354
- 7 Morice A, Kolb F, Picard A, Kadlub N, Puget S. Reconstruction of a large calvarial traumatic defect using a custom-made porous hydroxyapatite implant covered by a free latissimus dorsi muscle flap in an 11-year-old patient. J Neurosurg Pediatr 2017; 19 (01) 51-55
- 8 Scaglioni MF, Giunta G. Reconstruction of cranioplasty using the thoracodorsal artery perforator (TDAP) flap: a case series. Microsurgery 2019; 39 (03) 207-214
- 9 Dwivedi R, Kumar S, Pandey R. et al. Polycaprolactone as biomaterial for bone scaffolds: review of literature. J Oral Biol Craniofac Res 2020; 10 (01) 381-388
- 10 Farnezi Bassi AP, Ferreira Bizelli V, Mello Francatti T. et al. Bone regeneration assessment of polycaprolactone membrane on critical-size defects in rat calvaria. Membranes (Basel) 2021; 11 (02) 12
- 11 Jensen J, Rölfing JHD, Le DQ. et al. Surface-modified functionalized polycaprolactone scaffolds for bone repair: in vitro and in vivo experiments. J Biomed Mater Res A 2014; 102 (09) 2993-3003
- 12 Gredes T, Schönitz S, Gedrange T, Stepien L, Kozak K, Kunert-Keil C. In vivo analysis of covering materials composed of biodegradable polymers enriched with flax fibers. Biomater Res 2017; 21 (01) 8
- 13 Rindone AN, Nyberg E, Grayson WL. 3D-printing composite polycaprolactone-decellularized bone matrix scaffolds for bone tissue engineering applications. In: Decellularized Scaffolds and Organogenesis. New York, NY:: Humana Press;; 2017: 209-226
- 14 Patel JJ. Single and dual growth factor delivery from poly-ϵ-caprolactone scaffolds for pre-fabricated bone flap engineering [dissertation]. Ann Arbor, Michigan:: University of Michigan,; 2015
- 15 El-Habashy SE, Eltaher HM, Gaballah A, Zaki EI, Mehanna RA, El-Kamel AH. Hybrid bioactive hydroxyapatite/polycaprolactone nanoparticles for enhanced osteogenesis. Mater Sci Eng C 2021; 119: 111599