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Surgical pitfalls with custom-made porous hydroxyapatite cranial implants

Plastic and Aesthetic Research 2015年第1期2卷 7-11页

作者： Bruno Zanotti angela verlicchi Roberto Stefini Attilio Carlo Salgarelli Nicola Zingaretti Pier Camillo Parodi Casadei Matteo Massimo Robiony Department of Neurosurgery University Hospital S.Maria della Misericordia33100 UdineItaly Neurology Unit Free University of Neuroscience“Anemos”42124 Reggio EmiliaItaly Department of Neuroscience Neurosurgery UnitUniversity of Brescia25123 BresciaItaly Department of Head and Neck Surgery Unit of Maxillofacial SurgeryModena and Reggio Emilia University41124 ModenaItaly Department of Plastic and Reconstructive Surgery University Hospital S.Maria della Misericordia33100 UdineItaly Department of Maxillo-Facial Surgery University Hospital S.Maria della Misericordia33100 UdineItaly

Aim:Cranioplasty implants are used primarily in cases of surgical cranial decompression following pathological elevations of intracranial *** bone substitutes include porous hydroxyapatite(HA)and *** material is used,however,prosthetic cranial implants are susceptible to intra-and postsurgical complications and even *** aim of this study was to investigate such occurrences in HA cranioplasty implants,seeking not only to determine the likely causes(whether correlated or not with the device itself)but also,where possible,to suggest ***:We analyzed information regarding failures or complications reported in postmarketing surveillance and clinical studies of patients treated worldwide with custom-made HA cranial implants(Custom Bone Service Fin-Ceramica Faenza,Italy)in the period ***:The two most common complications were implant fractures(84 cases,2.9%of the total fitted)and infections(51 cases,1.77%).Conclusion:Although cranioplasties are superficial and not difficult types of surgery,and use of custom-made implants are often considered the“easy”option from a surgical perspective,these procedures are nonetheless plagued by potential *** performed well they yield more than satisfactory results from the points of view of both the patient and surgeon,but lack of appropriate care can open the door to numerous potential sources of failure,which can compromise-even irreparably-the ability to heal.

关键词： Cranial cranioplasty custom-made hydroxyapatite implants

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