Acta Neurochirurgica

, Volume 112, Issue 3–4, pp 147–150 | Cite as

Cranioplasty of an extremely large cranial defect caused by transitional meningioma with a knitted polypropylen-polyester prothesis “Codubix”

  • Z. Kotwica
  • M. Zawirski
  • S. Andrzejak
  • W. Papierz
  • M. Chmielowski
Special Cases

Summary

The authors report a case of transitional cell meningioma of the convexity which destroyed a large portion of the calvarium and invaded subcutaneous tissue. The tumour was totally removed and a large cranial defect/430 cm2 in size/ was filled with a polypropyleno-polyester knitted prothesis “Codubix” with an excellent result.

The problems of chronioplastic closure of such an unusually large skull defect and the advantages of the use of the material “Codubix” are discussed.

Keywords

Skull meningioma cranioplasty knitted polypropyloen-polyester prothesis “Codubix” 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Aziz TZ, Mathew BG, Kirkpatrick PJ (1990) Bone flap replacement vs acrylic cranioplasty: a clinical audit. Br J Neurosurg 4: 417–419PubMedGoogle Scholar
  2. 2.
    Benzel EC, LeBlanc KA, Hadden TA, Willis BK (1987) Management of a large skull defect utilizing a vascularized free omental transfer. Surg Neurol 27: 223–227PubMedGoogle Scholar
  3. 3.
    Cushing H, Eisenhardt L (1938) Meningiomas: their classification, regional behavior, life history and surgical end results. Charles C Thomas, Springfield, pp 1–81Google Scholar
  4. 4.
    Edwards MSB, Ousterhout DK (1987) Autogeneic skull bone grafts to reconstruct large or complex skull defects in children and adolescents. Neurosurgery 20: 273–279PubMedGoogle Scholar
  5. 5.
    Gold LHA, Keiffer SA, Peterson HO (1969) Intracranial meningiomas. A retrospective analysis of the diagnostic value of plain skull films. Neurology (Minneap) 19: 873–878Google Scholar
  6. 6.
    Guyuron B, Shafron M, Columbi B (1988) Management of extensive and difficult cranial defects. J Neurosurg 69: 210–212PubMedGoogle Scholar
  7. 7.
    Harris P, Jackson IT, McGregor JC (1981) Reconstructive surgery of the head. In: Krayenbühlet al (eds) Advances and technical standards in neurosurgery, Vol 8. Springer, Wien New York, pp 276–290Google Scholar
  8. 8.
    Hoye SJ, Hoar CS Jr, Murray JS (1960) Extracranial meningioma presenting as a tumour of the neck. Am J Surg 10: 486–489Google Scholar
  9. 9.
    Kobayashi S, Kara H, Okudera H, Takemae T, Sugita K (1987) Usefulness of ceramic implants in neurosurgery. Neurosurgery 21: 751–755PubMedGoogle Scholar
  10. 10.
    Lobay GW, Weir B, Carter R (1982) Dermatofibrosarcoma protuberans of the scalp treated by radial excision, immediate cranioplasty, and free groin flap. J Neurosurg 55: 640–642Google Scholar
  11. 11.
    Lopez DA, Silvers DN, Helwig EB (1974) Cutaneous meningiomas-a clinicopathological study. Cancer 34: 728–744PubMedGoogle Scholar
  12. 12.
    Malis LI (1989) Titanium mesh and acrylic cranioplasty. Neurosurgery 25: 351–355PubMedGoogle Scholar
  13. 13.
    Rish BL, Dillon JD, Meirowsky M, Caveness WF, Mohr JP, Kistler JP, Wiess GW (1979) Cranioplasty: a review of 1030 cases of penetrating head injury. Neurosurgery 4: 381–385PubMedGoogle Scholar
  14. 14.
    Roux FX, Brasnu D, Loty B, George B, Guillemin G (1988) Madreporic coral: a new bone graft substitute for cranial surgery. J Neurosurg 69: 510–513PubMedGoogle Scholar
  15. 15.
    Tabaddor K, LaMorgese J (1976) Complication of a large cranial defect. J Neurosurg 44: 506–508PubMedGoogle Scholar
  16. 16.
    Waite PD, Morawetz RB, Zeiger E, Pincock JL (1989) Reconstruction of cranial defects with porous hydroxylapatite blocks. Neurosurgery 25: 214–217PubMedGoogle Scholar
  17. 17.
    Yamashima T (1988) Reconstruction of surgical skull defects with hydroxylapatite ceramic buttons and granules. Acta Neurochir (Wien) 90: 157–162Google Scholar

Copyright information

© Springer-Verlag 1991

Authors and Affiliations

  • Z. Kotwica
    • 1
  • M. Zawirski
    • 1
  • S. Andrzejak
    • 1
  • W. Papierz
    • 2
  • M. Chmielowski
    • 3
  1. 1.Department of NeurosurgeryMedical Academy of ŁódźPoland
  2. 2.Department of PathologyMedical Academy of ŁódźPoland
  3. 3.Department of Medical ImagingMedical Academy of ŁódźPoland

Personalised recommendations