Utility of calcium phosphate cement cranioplasty following supraorbital approach for tumor resection

Int J Neurosci. 2018 Dec;128(12):1199-1203. doi: 10.1080/00207454.2018.1492573. Epub 2018 Aug 21.

Abstract

Objective: We have previously documented the utility of calcium phosphate cement cranioplasty following retromastoid craniectomy. In this study, we aimed to demonstrate its efficacy following a supraorbital approach for tumor resection.

Methods: A retrospective analysis of a prospectively maintained database was conducted of eight patients (7 female, 1 male) with anterior cranial fossa meningiomas resected via a supraorbital approach followed by cranioplasty involving adjunctive or sole use of calcium phosphate cement.

Results: Cranioplasty was achieved in all patients. No patient developed an incisional leak. The cohort had a mean follow-up of approximately 3.1 months (range: 0.5-7 months) in which time no further complications were noted. No patients developed post-surgical infections.

Conclusion: In our experience, a low incidence of infection or CSF leaks has been noted after the use of calcium phosphate cement retromastoid cranioplasty. Extending this technique to supraorbital craniotomies may minimize incisional CSF leak.

Keywords: Calcium phosphate cement; cranioplasty; supraorbital.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Bone Cements / therapeutic use*
  • Calcium Phosphates / therapeutic use*
  • Cranial Fossa, Anterior / surgery*
  • Craniotomy
  • Female
  • Humans
  • Male
  • Meningeal Neoplasms / surgery*
  • Meningioma / surgery*
  • Middle Aged
  • Plastic Surgery Procedures / methods
  • Retrospective Studies
  • Surgical Wound Infection / prevention & control
  • Treatment Outcome

Substances

  • Bone Cements
  • Calcium Phosphates
  • calcium phosphate