The Efficacy of Monomeric Acrylic in Cranioplasty Surgery Five-Year Follow-up The Efficacy of Monomeric Acrylic in Cranioplasty Surgery Five-Year Follow-up
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Keywords
Cranioplasty, Monomeric Acrylic, Cranioplastic
Abstract
Background: Cranioplasty refers to the surgical repair of a defect or deformity of skull that may result from trauma, growing skull fracture, congenital encephalocele, neoplasm.
Objectives: To evaluate the efficacy of monomeric acrylic implant material in cranioplasty
Patients and methods: Retrospective analyses of (64) patients undergoing cranioplasty over five years from January 2010 to December 2015 were performed in AL- Kadhimiya teaching hospital Baghdad, Iraq. Monomeric Acrylic was used in all patients and cranioplasty were performed under general anesthesia. 26 RTA, 19 bullet injuries, 7 FFH, 5 fan injuries, 4 congenital encephalocele, 3 brain tumors.
Results: A total of 64 cranial defect patients, 48 males and 16 females, were studied. Surgery had been conducted on all using monomeric acrylic designed in the hospital. Wound infection occurred in one patient, postoperative seizure in two cases, and dizziness post operatively in one case.
Discussion: The monomeric acrylic implant is considered the most compatible material as it can be easily used and prepared in a dental laboratory, is cheap, light weight, radiolucent, requires no thermal production, is malleable, sterilizable, and non-magnetic.
Conclusion: The monomeric acrylic implant designed in a dental laboratory is a new material used in cranioplasty which is malleable, sterilizable, nonmagnetic, radiolucent, light weight, inexpensive with easy and short surgical procedure and less post-operative complications.
Recommendation: Monomeric acrylic is the ideal synthetic material for cranioplasty; it is relatively safe, provides an acceptable aesthetic reconstructive option and contributes to neurological improvement in the treatment of cranial defect.
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