Analysis of Complications After Cranioplasty with a Customized Three-Dimensional Titanium Mesh Plate

Haewon Roh, Junwon Kim, Jang Hun Kim, Kyuha Chong, Won Ki Yoon, Taek-Hyun Kwon, Jong Hyun Kim

Research output: Contribution to journalArticle

Abstract

Objective: To report outcomes of cranioplasty (CP) with a customized three-dimensional (3D) titanium mesh plate and identify the relationship between various clinical variables and complications after CP. Methods: Twenty patients who underwent surgery with customized 3D titanium mesh plates and had follow-up for >6 months from January 2015 to December 2017 were enrolled. Complications related to CP were retrospectively reviewed. Patients were divided into 2 groups (no complication group and complication group), and clinical variables related to complications were compared between the 2 groups. Correlation analysis was performed to identify the clinical variable significantly correlated with complications after CP with a customized 3D titanium mesh plate. Results: Of 20 patients, 11 developed complications, including extrusion, intracranial infection, severe operative site pain, and wound dehiscence. Among the clinical variables, only the presence of a ventriculoperitoneal shunt was significantly correlated with the overall complication rate (odds ratio = 18.66; 95% confidence interval, 1.56–222.92; P = 0.021). Conclusions: A customized 3D titanium mesh plate is associated with a lower risk of intracranial infection, but the rate of postoperative complications, mainly cosmetic problems, such as forehead mesh extrusion and dehiscence, was high at 55%. A ventriculoperitoneal shunt was significantly correlated with the overall complication rate after CP with a customized 3D titanium mesh plate.

Original languageEnglish
JournalWorld Neurosurgery
DOIs
Publication statusAccepted/In press - 2018 Jan 1

Fingerprint

Titanium
Ventriculoperitoneal Shunt
Forehead
Infection
Cosmetics
Odds Ratio
Confidence Intervals
Pain
Wounds and Injuries

Keywords

  • Complication
  • Cranioplasty
  • Customized 3D titanium
  • Extrusion
  • Mesh
  • Titanium
  • Ventriculoperitoneal shunt

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Analysis of Complications After Cranioplasty with a Customized Three-Dimensional Titanium Mesh Plate. / Roh, Haewon; Kim, Junwon; Kim, Jang Hun; Chong, Kyuha; Yoon, Won Ki; Kwon, Taek-Hyun; Kim, Jong Hyun.

In: World Neurosurgery, 01.01.2018.

Research output: Contribution to journalArticle

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abstract = "Objective: To report outcomes of cranioplasty (CP) with a customized three-dimensional (3D) titanium mesh plate and identify the relationship between various clinical variables and complications after CP. Methods: Twenty patients who underwent surgery with customized 3D titanium mesh plates and had follow-up for >6 months from January 2015 to December 2017 were enrolled. Complications related to CP were retrospectively reviewed. Patients were divided into 2 groups (no complication group and complication group), and clinical variables related to complications were compared between the 2 groups. Correlation analysis was performed to identify the clinical variable significantly correlated with complications after CP with a customized 3D titanium mesh plate. Results: Of 20 patients, 11 developed complications, including extrusion, intracranial infection, severe operative site pain, and wound dehiscence. Among the clinical variables, only the presence of a ventriculoperitoneal shunt was significantly correlated with the overall complication rate (odds ratio = 18.66; 95{\%} confidence interval, 1.56–222.92; P = 0.021). Conclusions: A customized 3D titanium mesh plate is associated with a lower risk of intracranial infection, but the rate of postoperative complications, mainly cosmetic problems, such as forehead mesh extrusion and dehiscence, was high at 55{\%}. A ventriculoperitoneal shunt was significantly correlated with the overall complication rate after CP with a customized 3D titanium mesh plate.",
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AU - Kwon, Taek-Hyun

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