Turkish Neurosurgery 2017 , Vol 27 , Num 3
In-situ Cranioplasty after Microvascular Decompression: A Technical Note
Yahya Cem ERBAS1,Serhat PUSAT2,Gokce Kaan ATAC3, Ersin ERDOGAN4
1Bilgi Hospital, Department of Neurosurgery, Ankara, Turkey
2Etimesgut Military Hospital, Department of Neurosurgery, Ankara, Turkey
3Ufuk University, Department of Radiology, Ankara, Turkey
4Ufuk University, Department of Neurosurgery, Ankara, Turkey
DOI : 10.5137/1019-5149.JTN.14738-15.1 Cranioplasty is not only performed for cosmetic reasons but also for physiological requirements to balance the cerebral hemodynamics and to protect the brain from external traumas. Methyl methacrylate is one of the most preferred materials for cranioplasty. It is usually prepared out of the surgical site and therefore modelling of the cranioplasty material to fit the bone defect is sometimes difficult. In this technical note, we present our new technique of cranioplasty with methyl methacrylate in which the material is prepared on site of the bone defect and very easily shaped. Fixation materials are not needed. This technique is especially suitable for posterior fossa surgeries after craniectomy. Keywords : Cranioplasty, Microvascular decompression, Methyl methacrylate