• World Neurosurg · Oct 2020

    Case Reports

    Exchange cranioplasty using bioabsorbable hydroxyapatite and collagen complex after removal of an extensive frontal bone tumor in an infant.

    • Maya Kono, Tomoru Miwa, Yoshiaki Sakamoto, Kazuo Kishi, and Kazunari Yoshida.
    • Department of Neurosurgery, Keio University School of Medicine, Tokyo, Japan.
    • World Neurosurg. 2020 Oct 1; 142: 375-378.

    BackgroundForehead reconstruction is challenging. Reconstruction of the innate curvature of the forehead is difficult, and the forehead is an esthetically important part of the face. Although synthetic implants and autologous split bone grafts are useful, these cannot be used in infants.Case DescriptionA 4-month-old girl was presented with a right frontal bone Ewing sarcoma. The tumor was removed, and the defect was reconstructed with an autologous contralateral parietal bone graft. The parietal bone defect was repaired with a bioabsorbable hydroxyapatite and collagen complex. Good reconstruction of the forehead and ossification of the donor site was achieved within 3 years after surgery.ConclusionsAfter removal of an extensive frontal bone tumor in an infant, exchange cranioplasty with an autograft using a bioabsorbable hydroxyapatite and collagen complex at the donor site yielded good results.Copyright © 2020 Elsevier Inc. All rights reserved.

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