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CC BY-NC-ND 4.0 · Arch Plast Surg 2022; 49(06): 740-744
DOI: 10.1055/s-0042-1748656
Pediatric/Craniomaxillofacial/Head & Neck
Case Report

Cranioplasty Using Three-Dimensional–Printed Polycaprolactone Implant and Free Latissimus Dorsi Musculocutaneous Flap in a Patient with Repeated Wound Problem following Titanium Cranioplasty

Hee Tae Koo 
1   Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
,
Jeongseok Oh 
1   Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
,
Chan Yeong Heo 
1   Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
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Abstract

Titanium mesh is an alloplastic material widely used for the reconstruction of moderate-to-large skull defects. Repeated wound problems or infection following these reconstructions inevitably lead to the replacement of the cranioplasty material. Among the various alloplastic materials, polycaprolactone implants are usually used for the coverage of small defects such as burr holes. [1] Herein, we present a case of a large cranial defect successfully reconstructed with three-dimensional-printed polycaprolactone implant and a free latissimus dorsi musculocutaneous flap. Until 1-year follow-up, the patient showed a favorable esthetic outcome with no complications or wound relapse.

Keywords

polycaprolactone - free tissue flaps - skull

Ethical Approval

Informed consent was obtained from the patient for the use of medical photographs, writing, and publication of this case report.


Author Contributions

Conceptualization: CY Heo. Data curation: J Oh. Writing - original draft: HT Koo. Writing - review & editing: HT Koo, J Oh, CY Heo. All authors read and approved the final manuscript.


Patient Consent

Informed consent was obtained from all individual participants included in the study.




Publikationsverlauf

Eingereicht: 30. September 2021

Angenommen: 17. Februar 2022

Artikel online veröffentlicht:
13. Dezember 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Low SW, Ng YJ, Yeo TT, Chou N. Use of osteoplug polycaprolactone implants as novel burr-hole covers. Singapore Med J 2009; 50 (08) 777-780
    PubMedGoogle Scholar
  • 2 Cho HR, Roh TS, Shim KW, Kim YO, Lew DH, Yun IS. Skull reconstruction with custom made three-dimensional titanium implant. Arch Craniofac Surg 2015; 16 (01) 11-16
    CrossrefPubMedGoogle Scholar
  • 3 Kwiecien GJ, Rueda S, Couto RA. et al. Long-term outcomes of cranioplasty: titanium mesh is not a long-term solution in high-risk patients. Ann Plast Surg 2018; 81 (04) 416-422
    CrossrefPubMedGoogle Scholar
  • 4 Maqbool T, Binhammer A, Binhammer P, Antonyshyn OM. Risk factors for titanium mesh implant exposure following cranioplasty. J Craniofac Surg 2018; 29 (05) 1181-1186
    CrossrefPubMedGoogle Scholar
  • 5 Yogishwarappa CN, Srinivasan S, Teoh SH. et al. Customized osteomesh cranioplasty. Journal of Advanced Plastic Surgery Research 2016; 2: 25-32
    CrossrefGoogle Scholar
  • 6 Dong L, Dong Y, Liu C. et al. Latissimus dorsi-myocutaneous flap in the repair of titanium mesh exposure and scalp defect after cranioplasty. J Craniofac Surg 2020; 31 (02) 351-354
    CrossrefPubMedGoogle Scholar
  • 7 Morice A, Kolb F, Picard A, Kadlub N, Puget S. Reconstruction of a large calvarial traumatic defect using a custom-made porous hydroxyapatite implant covered by a free latissimus dorsi muscle flap in an 11-year-old patient. J Neurosurg Pediatr 2017; 19 (01) 51-55
    CrossrefPubMedGoogle Scholar
  • 8 Scaglioni MF, Giunta G. Reconstruction of cranioplasty using the thoracodorsal artery perforator (TDAP) flap: a case series. Microsurgery 2019; 39 (03) 207-214
    CrossrefPubMedGoogle Scholar
  • 9 Dwivedi R, Kumar S, Pandey R. et al. Polycaprolactone as biomaterial for bone scaffolds: review of literature. J Oral Biol Craniofac Res 2020; 10 (01) 381-388
    CrossrefPubMedGoogle Scholar
  • 10 Farnezi Bassi AP, Ferreira Bizelli V, Mello Francatti T. et al. Bone regeneration assessment of polycaprolactone membrane on critical-size defects in rat calvaria. Membranes (Basel) 2021; 11 (02) 12
    Google Scholar
  • 11 Jensen J, Rölfing JHD, Le DQ. et al. Surface-modified functionalized polycaprolactone scaffolds for bone repair: in vitro and in vivo experiments. J Biomed Mater Res A 2014; 102 (09) 2993-3003
    CrossrefPubMedGoogle Scholar
  • 12 Gredes T, Schönitz S, Gedrange T, Stepien L, Kozak K, Kunert-Keil C. In vivo analysis of covering materials composed of biodegradable polymers enriched with flax fibers. Biomater Res 2017; 21 (01) 8
    CrossrefPubMedGoogle Scholar
  • 13 Rindone AN, Nyberg E, Grayson WL. 3D-printing composite polycaprolactone-decellularized bone matrix scaffolds for bone tissue engineering applications. In: Decellularized Scaffolds and Organogenesis. New York, NY:: Humana Press;; 2017: 209-226
    Google Scholar
  • 14 Patel JJ. Single and dual growth factor delivery from poly-ϵ-caprolactone scaffolds for pre-fabricated bone flap engineering [dissertation]. Ann Arbor, Michigan:: University of Michigan,; 2015
    Google Scholar
  • 15 El-Habashy SE, Eltaher HM, Gaballah A, Zaki EI, Mehanna RA, El-Kamel AH. Hybrid bioactive hydroxyapatite/polycaprolactone nanoparticles for enhanced osteogenesis. Mater Sci Eng C 2021; 119: 111599
    CrossrefPubMedGoogle Scholar