pediatric cranioplasty: lessons from a 1940s neurosurgical procedure

Clicks: 284
ID: 251965
2014
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Popular

Ranked #12 of 45 articles by views in advances in materials science and engineering

Most read Least read

Bar heights use a square-root scale.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
No clear consensus exists regarding the best material and technique for use in pediatric cranioplasty. The immature bone in pediatric patients poses several challenges, such as rapid growth, skull growth restriction, plate migration, and tissue erosion. We present a pediatric cranioplasty from the 1940s, and examine the characteristics of the plating and anchoring used. The patient suffered a skull fracture after falling from a swing in 1946 at age six, requiring cranioplasty. Sixty-seven years later, she noted drainage from the old incision site, requiring reoperation. During surgery, the skull appeared normally shaped, and the area under the plate exhibited complete bone growth. The plate was noted to have several innovative design features that contributed to this outcome, notably that the plate and its anchors were “semi-rigid”; the hardware was softer than surrounding bone and easily pliable, deforming to accommodate skull growth and prevent restriction. The structure of the plate was also such that it allowed growth of underlying bone tissue to close the defect. This case contains unique features that can foster discussion regarding plate design and surgical technique that might avoid traditional complications.
Reference Key
kahn2014interdisciplinarypediatric Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Max Kahn;Mark Calayag;Ashit Patel;Julie G. Pilitsis
Journal advances in materials science and engineering
Year 2014
DOI
10.1016/j.inat.2014.08.002
URL
http://www.sciencedirect.com/science/article/pii/S2214751914000395
Keywords
pediatric fixation cranioplasty cranial reconstruction diseases of the nervous system skull fracturesurgeryneurology

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.