Use of the "mortise and tenon" principle in the augmentation of autologous cranioplasty using bone cement in a child
Journal
Child's nervous system
Journal Volume
26
Journal Issue
12
Pages
1807
Date Issued
2010-12
Author(s)
Abstract
We report the case of a 20-month-old boy with autologous bone graft resorption that resulted in a floating bone graft and progressive asymmetric deformity of the skull. The patient had undergone decompressive craniectomy for acute subdural hematoma at the age of 13 months after a fall, followed by cranioplasty 1 month later with an autologous bone graft, which was stored in a freezer immediately after surgery. We used the mortise and tenon principle to replace the screws and plates to join a polymethylmethacrylate prosthesis to the skull, augmenting the resorbed autologous bone graft. The cosmetic effect was maintained and craniocerebral protection was restored. It is thought that this technique could be used for bone defects of various sizes in patients of any age in cases where screws and plates are not suitable.
Subjects
Cranioplasty
Decompressive craniectomy
Mortise and tenon
PMMA
DECOMPRESSIVE CRANIECTOMY
DEFECTS
GRAFTS
FLAPS
Publisher
SPRINGER
Type
journal article