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Calcium phosphate and titanium cranioplasty after total angular craniopagus separation
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Calcium phosphate and titanium cranioplasty after total angular craniopagus separation
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Journal Article
Calcium phosphate and titanium cranioplasty after total angular craniopagus separation
2023
Overview
Craniopagus separation requires careful planning and a multi-staged surgical approach, managed by a multidisciplinary team. Despite growing experience on surgical management, the long-term restoration of the cranial defect has been rarely discussed so far. Several alloplastic materials have been proposed as effective and safe solutions for cranioplasty even for pediatric patients, allowing for bone generation, good aesthetic results, and low complication rates. We report, for the first time, on a separated craniopagus child who underwent successful implant of a tailor-made system based on the combination of calcium phosphate ceramic reinforced with a titanium mesh.
•Craniopagus separation requires a complex multistage and multidisciplinary management.•Restoration of cranial defect was relatively unreported by previous authors.•We report the first case of cranioplasty after craniopagus separation.•A titanium mesh with hexagonal pores holding calcium phosphate chips was adopted.•Careful preoperative design is needed for both skulls covering and a skin closure.
Publisher
Elsevier B.V,Elsevier Limited
Subject
