Turkish Neurosurgery 2022 , Vol 32 , Num 5
The Comparison of Autologous Bone, Methyl-Methacrylate, Porous Polyethylene, and Titanium Mesh in Cranioplasty
Haydar CELIK1,Adem KURTULUS2,Mehmet Emre YILDIRIM1,Ayhan TEKINER1,Yavuz ERDEM1,Kemal KANTARCI1,Halil KUL3,Mehmet Akif BAYAR1
1Ankara Education and Research Hospital, Department of Neurosurgery, Ankara, Turkey
2Afyonkarahisar State Hospital, Department of Neurosurgery, Afyonkarahisar, Turkey
3Hatay Education and Research Hospital, Department of Neurosurgery, Hatay, Turkey
DOI : 10.5137/1019-5149.JTN.37476-21.1 AIM: To discuss four different materials that are frequently used in cranioplasty, and to reveal their advantages and disadvantages.

MATERIAL and METHODS: We retrospectively reviewed 85 of our cranioplasty surgeries between 2016 and 2019. Reconstruction surgeries were excluded from our study due to craniofacial trauma.

RESULTS: Of the materials used in cranioplasty, 33 are autologous bone, 32 are methyl-methacrylate, 12 are porous polyethylene, and 8 are titanium mesh. Complications developed in 16 patients. Of these, 10 are infection, 3 are flap collapse, 2 are wound healing disorders, and 1 is reactive effusion complications due to the used material. The highest complication rate was 21.9% in cranioplasty with methyl-methacrylate. No major complications were observed in cranioplasty with titanium mesh.

CONCLUSION: Cranioplasty, which are among the surgeries with high complications in neurosurgery, maintain their importance today. As technology is developed and cost problems are resolved, cranioplasty takes its place among the safer and standard neurosurgical operations. Keywords : Titanium, Prosthesis implantation, Skull, Cranioplasty

Corresponding author : Adem KURTULUS, dr.ademkurtulus@gmail.com