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CC BY-NC-ND 4.0 · Arch Plast Surg 2022; 49(06): 740-744
DOI: 10.1055/s-0042-1748656
Pediatric/Craniomaxillofacial/Head & Neck
Case Report

Cranioplasty Using Three-Dimensional–Printed Polycaprolactone Implant and Free Latissimus Dorsi Musculocutaneous Flap in a Patient with Repeated Wound Problem following Titanium Cranioplasty

Hee Tae Koo 
1   Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
,
Jeongseok Oh 
1   Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
,
Chan Yeong Heo 
1   Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
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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.

Keywords

polycaprolactone - free tissue flaps - skull

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.




Publication History

Received: 30 September 2021

Accepted: 17 February 2022

Article published online:
13 December 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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