Skip to main content

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

We’re sorry, something doesn't seem to be working properly.

Please try refreshing the page. If that doesn't work, please contact support so we can address the problem.

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.

This is a preview of subscription content, access via your institution.

References

  1. Aziz TZ, Mathew BG, Kirkpatrick PJ (1990) Bone flap replacement vs acrylic cranioplasty: a clinical audit. Br J Neurosurg 4: 417–419

    PubMed  Google Scholar 

  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: 223–227

    PubMed  Google Scholar 

  3. Cushing H, Eisenhardt L (1938) Meningiomas: their classification, regional behavior, life history and surgical end results. Charles C Thomas, Springfield, pp 1–81

    Google Scholar 

  4. Edwards MSB, Ousterhout DK (1987) Autogeneic skull bone grafts to reconstruct large or complex skull defects in children and adolescents. Neurosurgery 20: 273–279

    PubMed  Google Scholar 

  5. Gold LHA, Keiffer SA, Peterson HO (1969) Intracranial meningiomas. A retrospective analysis of the diagnostic value of plain skull films. Neurology (Minneap) 19: 873–878

    Google Scholar 

  6. Guyuron B, Shafron M, Columbi B (1988) Management of extensive and difficult cranial defects. J Neurosurg 69: 210–212

    PubMed  Google Scholar 

  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 276–290

    Google Scholar 

  8. Hoye SJ, Hoar CS Jr, Murray JS (1960) Extracranial meningioma presenting as a tumour of the neck. Am J Surg 10: 486–489

    Google Scholar 

  9. Kobayashi S, Kara H, Okudera H, Takemae T, Sugita K (1987) Usefulness of ceramic implants in neurosurgery. Neurosurgery 21: 751–755

    PubMed  Google Scholar 

  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: 640–642

    Google Scholar 

  11. Lopez DA, Silvers DN, Helwig EB (1974) Cutaneous meningiomas-a clinicopathological study. Cancer 34: 728–744

    PubMed  Google Scholar 

  12. Malis LI (1989) Titanium mesh and acrylic cranioplasty. Neurosurgery 25: 351–355

    PubMed  Google Scholar 

  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: 381–385

    PubMed  Google Scholar 

  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: 510–513

    PubMed  Google Scholar 

  15. Tabaddor K, LaMorgese J (1976) Complication of a large cranial defect. J Neurosurg 44: 506–508

    PubMed  Google Scholar 

  16. Waite PD, Morawetz RB, Zeiger E, Pincock JL (1989) Reconstruction of cranial defects with porous hydroxylapatite blocks. Neurosurgery 25: 214–217

    PubMed  Google Scholar 

  17. Yamashima T (1988) Reconstruction of surgical skull defects with hydroxylapatite ceramic buttons and granules. Acta Neurochir (Wien) 90: 157–162

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Kotwica, Z., Zawirski, M., Andrzejak, S. et al. Cranioplasty of an extremely large cranial defect caused by transitional meningioma with a knitted polypropylen-polyester prothesis “Codubix”. Acta neurochir 112, 147–150 (1991). https://doi.org/10.1007/BF01405144

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01405144

Keywords