• R E Replogle, G Lanzino, P Francel, S Henson, K Lin, and J A Jane.
• Department of Neurological Surgery, University of Virginia, Charlottesville, USA.
• Neurosurgery. 1996 Oct 1; 39 (4): 747-9.

ObjectiveCranioplasty using acrylic is a common procedure in patients with cranial defects secondary to trauma, infection, or tumor. The limitations of this technique include poor adherence of the acrylic to surrounding bone and difficulty in achieving a proper cosmetic contour in complicated cranial defects, especially those involving the orbital rim. The authors have been continually developing techniques of cranioplasty.MethodsTen consecutive cranioplasties were performed over the past 5 years using this new technique.TechniqueThe authors describe a technique using miniplates as struts to which the acrylic is applied using a "reinforced concrete" principle.Results/ConclusionAll patients achieved excellent cosmetic results with no complications. This technique allows contour of the repair site while the acrylic is curing and provides a more resilient resulting prosthesis.

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