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

Br J Neurosurg. 2013 Dec;27(6):808-11. doi: 10.3109/02688697.2013.776670. Epub 2013 Mar 26.

Abstract

Background: Following retromastoid craniectomy for microvascular decompression of the fifth or seventh cranial nerve, the preferred method and value of cranioplasty remains disputed.

Methods: In 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.

Results: No 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.

Discussion: Although 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.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Bone Cements*
  • Calcium Phosphates*
  • Cerebrospinal Fluid Leak
  • Cerebrospinal Fluid Rhinorrhea / etiology
  • Cerebrospinal Fluid Rhinorrhea / therapy
  • Cranial Nerve Diseases / surgery*
  • Craniotomy / methods*
  • Female
  • Hemifacial Spasm / surgery
  • Humans
  • Male
  • Mastoid / surgery*
  • Microvascular Decompression Surgery / methods
  • Middle Aged
  • Neuralgia / surgery*
  • Pain, Postoperative / epidemiology
  • Pain, Postoperative / therapy
  • Postoperative Complications / cerebrospinal fluid
  • Postoperative Complications / therapy
  • Reconstructive Surgical Procedures / methods
  • Retrospective Studies
  • Surgical Wound Infection / epidemiology
  • Surgical Wound Infection / therapy
  • Trigeminal Neuralgia / surgery

Substances

  • Bone Cements
  • Calcium Phosphates
  • calcium phosphate