• Br J Neurosurg · Dec 2013

    The utility of calcium phosphate cement in cranioplasty following retromastoid craniectomy for cranial neuralgias.

    • Andrew M Frederickson and Raymond F Sekula.
    • Department of Neurological Surgery, University of Pittsburgh Medical Center, UPMC Hamot Hospital , Erie, PA , USA.
    • Br J Neurosurg. 2013 Dec 1; 27 (6): 808-11.

    BackgroundFollowing retromastoid craniectomy for microvascular decompression of the fifth or seventh cranial nerve, the preferred method and value of cranioplasty remains disputed.MethodsIn this study, we report the functional outcome of calcium phosphate cranioplasty following first-time microvascular decompression in 79 consecutive patients who underwent operations over a one-year period.ResultsNo patient experienced a deep infection, cerebrospinal fluid leak or undue incisional pain at long-term follow-up. Additionally, all patients stated that they were satisfied with the cosmetic outcome.DiscussionAlthough this technique is unlikely to affect the rates of infection and postoperative pain, we believe that the low rate of CSF leak provides a unique advantage over other currently used methods of closing retromastoid craniectomies.

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