Similarities and differences on complications after cranioplasty with two-dimensional and three-dimensional digital shaping titanium meshes

doi:10.3969/j.issn.2095-4344.0872

Abstract

Abstract:

BACKGROUND: Patients with cranial defects undergoing cranioplasty can develop complications related or unrelated to repair materials.

OBJECTIVE: To explore the differences and similarities between the two-dimensional and three-dimensional digital shaping titanium meshes for cranioplasty.

METHODS: The clinical data of 221 patients with skull repair were retrospectively analyzed. Two-dimensional digital shaping titanium mesh was used in 61 cases, and three-dimensional digital shaping titanium mesh used in 160 cases. Postoperative complications related (including exposure of titanium mesh and nail and loosening of titanium nail) or unrelated (including refractory subcutaneous effusion, epilepsy, scalp necrosis, scalp infection, intracranial infection and intracranial hematoma) to repair materials were summarized.

RESULTS AND CONCLUSION: There were 14 cases of complications (4 related and 10 unrelated) in the two-dimensional digital shaping titanium mesh group, including 2 cases of intractable subcutaneous effusion, 7 cases of epilepsy, 2 cases of titanium mesh and nail exposure, 2 cases of titanium mesh and titanium nail loosening and 1 case of scalp infection. There were 17 cases of complications (0 related and 17 unrelated) in the three-dimensional digital shaping titanium mesh group, including 5 cases of refractory subcutaneous effusion, 9 cases of epilepsy, 1 case of scalp necrosis, 1 case of intracranial infection and 1 case of intracranial hematoma. Significant differences in the complications related to repair materials were found between the two groups (χ²=5.577, P=0.018). Overall findings suggest that the craniotomy with three-dimensional digital shaping titanium mesh can cause fewer material-related complications than that with two-dimensional digital shaping titanium mesh.

中国组织工程研究杂志出版内容重点：生物材料；骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性；组织工程

Key words: Skull, Postoperative Complications, Neurosurgical Procedures, Tissue Engineering

CLC Number:

R318

Hu Jun-xian, Yuan Yu-ming, Zhao De-ying, Xu Chun-lin, Wu Ya-lan. Similarities and differences on complications after cranioplasty with two-dimensional and three-dimensional digital shaping titanium meshes[J]. Chinese Journal of Tissue Engineering Research, 2018, 22(18): 2826-2830.

Figures/Tables 4

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