Individual prefabricated titanium implants and titanium mesh in skull base reconstructive surgery. A report of cases

Cranio-maxillofacial defects are often challenging to reconstruct due to the difficulty of selecting the most appropriate material for the individual case while ensuring good outcomes with minimal complications. The chemical properties of titanium regarding biocompatibility coupled with the physical properties of the mesh design, make titanium mesh an optimal material that is increasingly used in reconstructive surgery. We present our experience regarding the use of titanium mesh for the reconstruction of 14 cranio-maxillofacial bone defects of various etiologies, including 8 defects following oncologic resection, 4 posttraumatic sequelae defects, one osteofascial flap donor site defect and one defect following treatment for osteomyelitis. The advantages and disadvantages of this reconstructive method are discussed.

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Emergent Skull-Base Mesh Cranioplasty for Large Defects Using Titanium Implants in Severe Head Trauma: A Case Report of Difficult Cranionasal Separation

Journal of Neurological Surgery Part B Skull Base ◽

10.1055/s-0037-1600740 ◽

2017 ◽

Vol 78 (S 01) ◽

pp. S1-S156

Author(s):

Akshay Sharma ◽

Christina Wright ◽

Catherine Weng ◽

Sunil Manjila ◽

Freedom Johnson ◽

...

Keyword(s):

Case Report ◽

Skull Base ◽

Head Trauma ◽

Titanium Implants ◽

Severe Head Trauma

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Combined Transcranial-endonasal Reconstructive Surgery for Cerebrospinal Fluid Leakage Resulting from Traumatic Anterior Skull Base Fractures Involving the Parasellar Region

Neurologia medico-chirurgica ◽

10.2176/nmc.tn.2021-0085 ◽

2021 ◽

Author(s):

Tatsuma KONDO ◽

Yugo KISHIDA ◽

Tadashi WATANABE ◽

Tetsuya NAGATANI ◽

Yukio SEKI

Keyword(s):

Cerebrospinal Fluid ◽

Skull Base ◽

Reconstructive Surgery ◽

Anterior Skull Base ◽

Cerebrospinal Fluid Leakage ◽

Fluid Leakage ◽

Parasellar Region

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Titanium mesh in reconstructive surgery of the nasal pyramid. Follow-up of our 11 initial cases

International Journal of Dermatology ◽

10.1111/ijd.12971 ◽

2015 ◽

Vol 54 (8) ◽

pp. 961-965 ◽

Cited By ~ 6

Author(s):

María Mercedes Otero-Rivas ◽

Beatriz González-Sixto ◽

Teresa Alonso-Alonso ◽

Alicia Pérez-Bustillo ◽

Luis Miguel Valladares-Narganes ◽

...

Keyword(s):

Reconstructive Surgery ◽

Titanium Mesh ◽

Nasal Pyramid

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Plastic reconstructive surgery techniques for defect coverage of extended skull base defects

Journal of Plastic Reconstructive & Aesthetic Surgery ◽

10.1016/j.bjps.2016.06.008 ◽

2016 ◽

Vol 69 (9) ◽

pp. 1266-1274 ◽

Cited By ~ 3

Author(s):

Felix J. Paprottka ◽

Nicco Krezdorn ◽

Ramin Ipaktchi ◽

Christine Radtke ◽

Peter M. Vogt

Keyword(s):

Skull Base ◽

Reconstructive Surgery ◽

Defect Coverage ◽

Plastic Reconstructive Surgery ◽

Skull Base Defects

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Study on the Microstructure and Biocompatibility of Inositol Hexakisphosphate-Modified Titanium Surface

Materials Science Forum ◽

10.4028/www.scientific.net/msf.809-810.507 ◽

2014 ◽

Vol 809-810 ◽

pp. 507-513

Author(s):

Dong Qin Xiao ◽

Zhen Tan ◽

Cheng Dong Zhang ◽

Tai Lin Guo ◽

Ke Duan ◽

...

Keyword(s):

Calcium Phosphate ◽

Titanium Surface ◽

Titanium Implants ◽

Calcium Phosphate Coating ◽

Phosphate Coating ◽

Titanium Mesh ◽

High Concentration ◽

Inositol Hexakisphosphate ◽

Surface Enhanced ◽

Grooved Surface

The surface topography and biocompatibility of titanium mesh treated with inositol hexakisphosphate (IP6) was studied. At high concentration of IP6, micro-grooved titanium surface with width of ~ 8 μm was formed. Then, calcium phosphate coating was deposited on the micro-grooves by a second hydrothermal treatment. Furthermore, cell culture results showed that micro-grooved surface could guide cell elongation and stretching along the grooves. Calcium phosphate modified micro-grooved titanium surface enhanced the cell viability compared with the unmodified surface. Therefore, IP6 modification may be a good candidate for improving the biocompatibility of titanium implants.

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