Utility of calcium phosphate cement cranioplasty following supraorbital approach for tumor resection.

Abstract

OBJECTIVE:

We have previously documented the utility of calcium phosphate cement cranioplasty following retromastoid craniectomy. In this study, we aimed to demonstrate its efficacy following a supraorbital approach for tumor resection.

METHODS:

A retrospective analysis of a prospectively maintained database was conducted of eight patients (7 female, 1 male) with anterior cranial fossa meningiomas resected via a supraorbital approach followed by cranioplasty involving adjunctive or sole use of calcium phosphate cement.

RESULTS:

Cranioplasty was achieved in all patients. No patient developed an incisional leak. The cohort had a mean follow-up of approximately 3.1 months (range: 0.5-7 months) in which time no further complications were noted. No patients developed post-surgical infections.

CONCLUSION:

In our experience, a low incidence of infection or CSF leaks has been noted after the use of calcium phosphate cement retromastoid cranioplasty. Extending this technique to supraorbital craniotomies may minimize incisional CSF leak.

• Authors: Rafey A Feroze, Nitin Agarwal, Raymond F Sekula
• Journal: The International journal of neuroscience (Int J Neurosci) Vol. 128 Issue 12 Pg. 1199-1203 (Dec 2018) ISSN: 1563-5279 [Electronic] England
• PMID: 29952679 (Publication Type: Case Reports, Journal Article)

Chemical References

• Bone Cements
• Calcium Phosphates
• calcium phosphate

Topics

• Aged
• Aged, 80 and over
• Bone Cements (therapeutic use)
• Calcium Phosphates (therapeutic use)
• Cranial Fossa, Anterior (surgery)
• Craniotomy
• Female
• Humans
• Male
• Meningeal Neoplasms (surgery)
• Meningioma (surgery)
• Middle Aged
• Plastic Surgery Procedures (methods)
• Retrospective Studies
• Surgical Wound Infection (prevention & control)
• Treatment Outcome