This article investigated the application of calcium phosphate cement (CPC) in repairing cranial defects during microvascular decompression (MVD) surgery. A retrospective study was conducted on patients undergoing MVD, comparing two different cranial reconstruction methods: titanium mesh (TM) and CPC. The results showed that patients in the CPC group had a shorter hospital stay (9.15 ± 2.00 days) compared to the TM group (10.69 ± 2.86 days). The rate of plasticity satisfaction was significantly higher in the CPC group (90.91% vs. 78.65% in the TM group). The CPC group also had a lower incidence of intracranial infection (1 case vs. 8 cases in the TM group). Overall, the study concluded that CPC is a viable alternative for cranial reconstructions in MVD surgery, reducing complications and improving outcomes
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most specialised sugical centre in London
Published article
CONCLUSIONS: CPC is another viable alternative for complete cranial reconstructions of microvascular decompression craniectomies. The use of CPC does not increase the incidence of postoperative complications, such as CSF leakage and intracranial infection, and can reduce the average length of hospital stay and the incidence of etiologic diagnosis of intracranial infection. Furthermore, the evaluation of the plastic shape is satisfactory.
Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
J Plast Reconstr Aesthet Surg. 2023 Jul 3;85:210-216. doi: 10.1016/j.bjps.2023.06.065. Online ahead of print.ABSTRACTOBJECTIVE: To investigate the application value of calcium phosphate cement (CPC) in repairing cranial defects during microvascular decompression (MVD) surgery via the retrosigmoid approach.METHODS: A retrospective study was carried out on patients who underwent MVD. According to the two different cranial reconstruction,
J Plast Reconstr Aesthet Surg. 2023 Jul 3;85:210-216. doi: 10.1016/j.bjps.2023.06.065. Online ahead of print.
ABSTRACT
OBJECTIVE: To investigate the application value of calcium phosphate cement (CPC) in repairing cranial defects during microvascular decompression (MVD) surgery via the retrosigmoid approach.
METHODS: A retrospective study was carried out on patients who underwent MVD. According to the two different cranial reconstruction methods, patients were divided into a titanium mesh (TM) group and a CPC group. We compared in the two groups the length of postoperative hospital stay, the incidence of postoperative cerebrospinal fluid (CSF) leakage, the number of patients with suspected postoperative intracranial infection who underwent lumbar puncture, the number of patients with a definitive etiologic diagnosis of intracranial infection, and the imaging evaluation of plastic shape satisfaction.
RESULTS: Patients in the CPC group had an average hospital stay of 9.15 ± 2.00 days, shorter than that in the TM group (10.69 ± 2.86 days), P < 0.001. In the TM group, the rate of plasticity satisfaction was 70/89 (78.65%), which was significantly lower than that in the CPC group (60/66, 90.91%), P = 0.040. Among the patients with a definitive etiologic diagnosis of intracranial infection, there were eight cases in the TM group and one case in the CPC group, and the difference was statistically significant, P = 0.049.
CONCLUSIONS: CPC is another viable alternative for complete cranial reconstructions of microvascular decompression craniectomies. The use of CPC does not increase the incidence of postoperative complications, such as CSF leakage and intracranial infection, and can reduce the average length of hospital stay and the incidence of etiologic diagnosis of intracranial infection. Furthermore, the evaluation of the plastic shape is satisfactory.
PMID:37524033 | DOI:10.1016/j.bjps.2023.06.065
The London Spine Unit : most specialised sugical centre in London
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Application value of calcium phosphate cement in complete cranial reconstructions of microvascular decompression craniectomies
