OssDsign cranioplasty in children: a single-centre experience
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ORIGINAL ARTICLE
OssDsign cranioplasty in children: a single-centre experience D. Henderson 1
&
S. Sinha 1
Received: 22 October 2019 / Accepted: 19 March 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Introduction OssDsign have developed a new type of cranioplasty plate, consisting of calcium phosphate reinforced with titanium. Currently, there is little known about the cosmetic outcomes and infection rate when OssDsign cranioplasty plates are implanted into paediatric patients. Methods A retrospective case series was performed to include all paediatric patients who received an OssDsign cranioplasty at a single centre, Sheffield Children’s Hospital. The cosmetic outcomes were subjectively reported by the parents of the children. Results We identified seven paediatric patients where OssDsign cranioplasty was performed. This included two bifrontal and five hemicranioplasties. However, there was failure to implant an OssDsign hemicranioplasty in one patient where a titanium plate was subsequently used. The median duration of follow-up was 15 months. The infection rate was zero. The parents of the patients who successfully received OssDsign cranioplasties were pleased with the cosmetic outcomes. There were cosmetic complaints from the parents of the one patient who received a titanium plate. Conclusion Our early experience with OssDsign cranioplasty in paediatric patients indicates that it may potentially be associated with a low rate of infection and good cosmetic outcomes. Keywords Cranioplasty . Decompressive craniectomy . Traumatic brain injury . Ventriculoperitoneal shunt
Introduction Cranial reconstruction following craniectomy facilitates neurorehabilitation and can improve a child’s psychological and social development. Cranial reconstruction can be carried out using autologous bone or synthetic materials. In the UK, it is common practice to use synthetic materials such as titanium or acrylic. In our experience, the titanium overlays can lead to a poor cosmetic appearance, particularly when used for bifrontal reconstructions. Furthermore, we have found the acrylic inlays can give a suboptimal fit, mainly due to their rigid structure. Recently, the OssDsign cranioplasty has become available, which is a titanium-reinforced calcium phosphate inlay plate. There is some evidence in the adult population to suggest that the OssDsign cranioplasty is associated with a low rate of infection [1]. However, there is little
* D. Henderson [email protected]; [email protected] 1
Sheffield Children’s Hospital, Sheffield, UK
evidence to suggest how the cosmetic outcomes using OssDsign compare against other synthetic materials.
Methods A retrospective case series was carried out at a single centre, Sheffield Children’s Hospital. We included all paediatric patients who have undergone cranial reconstruction using an OssDsign plate up to July 2019. The total sample size was 7, with a male to female ratio of 1:1. The patients were aged from 3 to 14 with a median age of 10 years
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