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.
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References
Aziz TZ, Mathew BG, Kirkpatrick PJ (1990) Bone flap replacement vs acrylic cranioplasty: a clinical audit. Br J Neurosurg 4: 417–419
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
Cushing H, Eisenhardt L (1938) Meningiomas: their classification, regional behavior, life history and surgical end results. Charles C Thomas, Springfield, pp 1–81
Edwards MSB, Ousterhout DK (1987) Autogeneic skull bone grafts to reconstruct large or complex skull defects in children and adolescents. Neurosurgery 20: 273–279
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
Guyuron B, Shafron M, Columbi B (1988) Management of extensive and difficult cranial defects. J Neurosurg 69: 210–212
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
Hoye SJ, Hoar CS Jr, Murray JS (1960) Extracranial meningioma presenting as a tumour of the neck. Am J Surg 10: 486–489
Kobayashi S, Kara H, Okudera H, Takemae T, Sugita K (1987) Usefulness of ceramic implants in neurosurgery. Neurosurgery 21: 751–755
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
Lopez DA, Silvers DN, Helwig EB (1974) Cutaneous meningiomas-a clinicopathological study. Cancer 34: 728–744
Malis LI (1989) Titanium mesh and acrylic cranioplasty. Neurosurgery 25: 351–355
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
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
Tabaddor K, LaMorgese J (1976) Complication of a large cranial defect. J Neurosurg 44: 506–508
Waite PD, Morawetz RB, Zeiger E, Pincock JL (1989) Reconstruction of cranial defects with porous hydroxylapatite blocks. Neurosurgery 25: 214–217
Yamashima T (1988) Reconstruction of surgical skull defects with hydroxylapatite ceramic buttons and granules. Acta Neurochir (Wien) 90: 157–162
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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
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DOI: https://doi.org/10.1007/BF01405144