Cranial Deformity, Reconstruction of Cranium

Abstract

Cranioplasty is defined as the surgical repair of acquired defects or congenital deformities of the cranium. It is performed mainly for anatomical reconstruction, brain protection, and cosmetics, but evidence has shown that there is also improvement of brain physiology. The aims of this paper are to describe a technique to fabricate polymethylmethacrylate prostheses by hand during operation and at the same time describe the surgical outcomes of this procedure. Between the years 2007 and 2011, 20 patients were complaining from cranial bone defect due to many causes underwent cranioplasty operation in Mosul Medical Center/IRAQ for reconstructed the defect using the polymethylmethacrylate that fabricated by hand during the operation. The operations were done by the same maxillofacial surgeon with different neurosurgeons. Age of patients extended from 14 years to 42 years with mean 33.2 years. The main cause of cranial defect was trauma resulting from missiles injuries that involved 14 patients and formed 70%. During the follow-up, all patients were satisfied with the cosmetic result and no revision for cosmetic reasons was required. One patient developed infection in one of stainless steel wire postoperatively that controlled and resolved the problem by remove this wire only. Thus, the implanted material was well tolerated in all cases. The majority of patients were males while the most common cause of cranial defect was due to traumatic cranial injury by missiles injuries. Infection, being the most feared complication of allograft implants, but there was a very low rate with the technique described in this paper. This technique is quick and easy to perform, and provide a cheap and safe way produces a strong implant very good cosmetic. *Corresponding author: Israa Anwar Abd al-Hameed, BDS, MSc Dentistry College Mosul University Mosul, Iraq E-mail: amertaqa@hotmail.com Citation: Abd al-Hameed IA, Mahmood AS, Taka YA. Cranial deformity, Reconstruction of cranium. J Dents Dent Med. 2019 Mar;2(1):130 Copyright: © 2019 Abd al-Hameed IA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 international License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 1Dentistry College, Mosul University, Mosul, Iraq 2Department of Maxillofacial Surgery, AL-Jumhory Teaching Hospital, Mosul, Iraq 3Department of Surgery, Mosul College of Medicine, Mosul University, Mosul, Iraq Israa Anwar Abd al-Hameed1* Ali Salim Mahmood2 Yasir Adil Taka3