Temporal augmentation with calvarial onlay graft during pterional craniotomy for prevention of temporal hollowing
Archives of Craniofacial Surgery
;
: 94-101, 2018.
Article
in English
| WPRIM
| ID: wpr-715264
ABSTRACT
BACKGROUND:
Atrophy of muscle and fat often contributes to temporal hollowing after pterional craniotomy. However, the main cause is from the bony defect. Several methods to prevent temporal hollowing have been introduced, all with specific limitations. Autologous bone grafts are most ideal for cranial defect reconstruction. The authors investigated the effectiveness of bony defect coverage and temporal augmentation using pterional craniotomy bone flap.METHODS:
This study was conducted in 100 patients who underwent brain tumor excision through pterional approach from 2015 to 2016. Group 1 underwent pterional craniotomy with temporal augmentation and group 2 without temporal augmentation. In group 1, after splitting the calvarial bone at the diploic space, the inner table was used for covering the bone defect and as an onlay graft for temporal augmentation. The outcome is evaluated by computed tomography at 1-year follow-up.RESULTS:
The mean operative time for temporal augmentation was 45 minutes. The mean follow-up was 12 months. The ratio of temporal thickness of operated side to non-operated side was 0.99 in group 1 and 0.44 in group 2, which was statistically different. The mean visual analogue scale score was 1.77 in group 1 and 6.85 in group 2.CONCLUSION:
This study demonstrated a surgical technique using autologous bone graft for successfully preventing the temporal hollowing and improved patient satisfaction.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Atrophy
/
Temporal Bone
/
Temporal Muscle
/
Brain Neoplasms
/
Follow-Up Studies
/
Bone Transplantation
/
Patient Satisfaction
/
Transplants
/
Craniotomy
/
Operative Time
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Archives of Craniofacial Surgery
Year:
2018
Type:
Article
Similar
MEDLINE
...
LILACS
LIS