• World Neurosurg · Mar 2022

    Comparison of the morphological and mechanical features of human cranial dura and other graft materials used for duraplasty.

    • Safiye Çavdar, Selçuk Sürücü, Mazhar Özkan, Büşra Köse, Anjum Naeem Malik, Evren Aydoğmuş, Özgül Tanış, and İsmail Lazoğlu.
    • Department of Anatomy, Koç University, School of Medicine, Rumelifener Yolu, Istanbul, Turkey. Electronic address: scavdar@ku.edu.tr.
    • World Neurosurg. 2022 Mar 1; 159: e199-e207.

    ObjectiveThis study aimed to compare the thickness and mechanical properties of the frontal; parietal; temporal; occipital human dura; autogenous grafts (facia lata, temporal fascia, galea aponeurotica); and artificial dura.MethodsSagittal and transverse dura samples were obtained from standard regions of the cranial dura from 30 autopsies for histologic and mechanical property measurements. Identical measurements were made for the autogenous grafts artificial dura, and the results were statistically analyzed.ResultsThe thickness of the temporal (0.35 ± 0.11 mm), parietal (0.44 ± 0.13 mm), frontal (0.38 ± 0.12 mm), and occipital (0.46 ± 0.18 mm) dura showed regional variations. The parietal and occipital dura were significantly thicker than the temporal dura. The occipital dura was considerably thicker than the frontal dura. The frontal and temporal dura of males were significantly thicker than females. The sagittal maximum tensile force measurements were significantly greater than transverse, for the frontal, temporal, and occipital dura. The stiffness measurements in sagittal direction were greater than the measurements in transverse direction for the frontal dura. The mechanical properties and thickness of the autogenous and artificial dura were not similar to the human dura.ConclusionsThe thickness and mechanical properties of the regional cranial dura should be taken into consideration for a better cure and fewer complications. The mechanical properties of sagittal and transverse dura should be kept in mind for the preference of dura material. The present study's data can pave the way to produce artificial regional dura by mimicking the thickness and mechanical properties of the human dura.Copyright © 2021. Published by Elsevier Inc.

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