Simultaneous repair of the skull base and the frontal lobe defect using CAD-CAM technology
https://doi.org/10.47183/mes.2021.038
Abstract
Many patients with traumatic brain injury develop complications in the postoperative period. The article describes a case of revision surgery in a female patient with cerebrospinal fluid rhinorrhea following a severe car accident. During one surgery, the skull base and the frontal bone defect were repaired and a lumboperitoneal shunt was placed. The skull base was repaired using an autologous musculoaponeurotic graft. For a better cosmetic effect, the implant was designed using CADCAM technologies. The patient had a relapse of the leak in the postoperative period, which required revision surgery (multilayer reconstruction using a fibrin-thrombin sponge). The patient was followed up for 2 years, with no relapse. The desired clinical and cosmetic effects were successfully achieved.
Supporting agencies: The work was part of the State Assignment on the Cranial bone defect repair with shape memory materials. The authors thank Urasovsky IB, Director of Logeeks Medical Systems, and Panchencko AA, Director of Engineering, for their help in creating the customized implant.
About the Author
O. V. Ivanov
Federal Siberian Research and Clinical Center of FMBA of Russia
Russian Federation
Russian Federation
Oleg V. Ivanov,
Krasnoyarsk.
References
1. Aciduman A, Belen D. The earliest document regarding the history of cranioplasty from the ottoman era. Surg Neurol. 2007; 68 (3): 349–53.
2. Sanan A, Haines S. Repairing holes in the head: a history of cranioplasty. Neurosurgery. 1997; 3 (40): 588–603.
3. Shah AM, Jung H, Skirboll S. Materials used in cranioplasty: A history and analysis. Neurosurg Focus. 2014; 36 (4): 19.
4. Travma nazo-jetmoidal'nogo kompleksa: nejrohirurgicheskie i jesteticheskie aspekty problemy. Jakovenko I. V. i dr. Nejrohirurgija. 2013; 4: 33–38.
5. Chobulov SA, Kravchuk AD, Potapov AA, Lihterman LB, Marjahin AD, Sinbuhova EV. Sovremennye aspekty rekonstruktivnoj hirurgii defektov cherepa. Zhurnal «Voprosy nejrohirurgii» imeni N. N. Burdenko. 2019; 83 (2): 115–24. Russian.
6. Golbin DA, Mindlin SN. Taktika plasticheskogo zakrytija bazal'nyh defektov posle udalenija sredinnyh novoobrazovanij perednih otdelov osnovanija cherepa. Zhurnal «Voprosy nejrohirurgii» imeni N.N. Burdenko. 2017; 81 (3): 77–87. Russian.
7. Di Vitantonio H, De Paulis D, Del Maestro M, Ricci A, Dechordi SR, Marzi S, et al. Dural repair using autologous fat: Our experience and review of the literature. Surg Neurol Int. 2016; 7: S463–8. Available from: http://surgicalneurologyint.com/Dural-repair-using-autologous-fat:-Our-experience-and-review-of-the-literature//.
8. Eolchijan SA, Potapov AA, Serova NK, Kataev MG, Sergeeva LA, Zaharova NE, i dr. Rekonstruktivnaja hirurgija kranioorbital'nyh povrezhdenij. Zhurnal «Voprosy nejrohirurgii» imeni N. N. Burdenko. 2011; 75 (2): 25–40. Russian.
9. Naik AN, Lancione PJ, Parikh AS, Lin C, Silverman DA, Carrau RL, VanKoevering KK, Seim NB, Old MO, Kang SY. Anterior skull base reconstruction: a contemporary review. Plast Aesthet Res 2021; 8: 22. Available from: http://dx.doi.org/10.20517/23479264.2021.05.
10. Krishnan SS, Manuel A, Vasudevan MC. Delayed pneumoventricle following endonasal cerebrospinal fluid rhinorrhea repair with thecoperitoneal shunt. Asian J Neurosurg. 2019; 14: 325–8.
11. Krjukov AI, Turovskij AB, Godkov IM, Kudrjavceva YuS. Lechenie rinolikvorei posle travm osnovanija cherepa. Rossijskaja rinologija. 2011; 19 (2): 54–55. Russian.
12. Shimanskij VN, Poshataev VK, Odamanov DA, Shevchenko KV. Metodika primenenija materiala TahoKomb dlja plastiki tverdoj mozgovoj obolochki v hirurgii opuholej zadnej cherepnoj jamki. Zhurnal «Voprosy nejrohirurgii» im. N. N. Burdenko. 2016; 80 (5): 85–89. DOI: 10.17116/neiro201680585-89. Russian.
13. Kalinin PL, Kutin MA, Fomichev DV, i dr. Plastika operacionnyh defektov central'nyh otdelov osnovanija cherepa v hirurgii opuholej hiazmal'no-selljarnoj oblasti. Nejrohirurgija. 2018; 20 (3): 104–10. DOI: 10.17650/1683-3295-2018-20-3-104-110. Russian.
14. Corallo F, Cristina De Cola M, Lo Buono V, Marra A, De Luca R, Trinchera A, et al. Early vs late cranioplasty: what is better? International Journal of Neuroscience. 2017; 127 (8): 688–93. DOI: 10.1080/00207454.2016.1235045.
15. Kalinin PL, Kutin MA, Fomichev DV, i dr. Plastika operacionnyh defektov central'nyh otdelov osnovanija cherepa v hirurgii opuholej hiazmal'no-selljarnoj oblasti. Nejrohirurgija. 2018; 20 (3): 104–10. Russian.
16. Levchenko OV. Struktura cheljustno-licevyh povrezhdenij, sochetannyh s cherepno-mozgovoj travmoj. V sbornike: O.V. Levchenko, A.Z. Shalumov, N.Ju. Kutrovskaja. XI Vserossijskaja. nauch.-prakt. konf. nejrohirurgov «Polenovskie chtenija». M., 2012; s. 137. Russian.
Review
For citations:
Ivanov O.V. Simultaneous repair of the skull base and the frontal lobe defect using CAD-CAM technology. Extreme Medicine. 2021;23(4):72-77. https://doi.org/10.47183/mes.2021.038
Views:
21
Email this article 