Evaluation of Three Cases Using a Novel Titanium Mesh System—Skull-Fit^® with Orbital Wall (Skull-Fit WOW^®)—For Cranial Base Reconstructions

ABSTRACT

Cranial base reconstructions associated with tumor resections around the orbital wall often require that both the upper and lateral orbital walls be reconstructed during a single procedure. Previously, we used titanium mesh plates that were preoperatively fabricated based on three-dimensional models. Although these plates are precise and do not increase the probability of infection, we still had to use autologous bones to reconstruct the orbital walls. Recently, we developed a new titanium mesh plate—called Skull-Fit^®—with orbital wall (Skull-Fit WOW^®), enabling us to reconstruct the cranial base and orbital walls without bone grafts. Here, we report on three reconstruction cases in which the novel titanium mesh-orbital wall system was used. In all three cases, the customized titanium mesh system performed satisfactorily with little, if any, complications.

KEYWORDS

Titanium mesh plate - skull base reconstruction - Skull-Fit WOW^® - meningioma

REFERENCES

• 1 Nakajima H, Imanishi N, Minabe T. The arterial anatomy of the temporal region and the vascular basis of various temporal flaps.  Br J Plast Surg. 1995;  48 (7) 439-450
• 2 Afifi A M, Gordon C R, Pryor L S, Sweeney W, Papay F A, Zins J E. Calcium phosphate cements in skull reconstruction: a meta-analysis.  Plast Reconstr Surg. 2010;  126 (4) 1300-1309
• 3 Lotfy M, Xu R, McGirt M, Sakr S, Ayoub B, Bydon A. Reconstruction of skull base defects in sphenoid wing dysplasia associated with neurofibromatosis I with titanium mesh.  Clin Neurol Neurosurg. 2010;  112 (10) 909-914
• 4 Neovius E, Engstrand T. Craniofacial reconstruction with bone and biomaterials: review over the last 11 years.  J Plast Reconstr Aesthet Surg. 2010;  63 (10) 1615-1623
• 5 Gear A J, Lokeh A, Aldridge J H, Migliori M R, Benjamin C I, Schubert W. Safety of titanium mesh for orbital reconstruction.  Ann Plast Surg. 2002;  48 (1) 1-7 discussion 7-9
• 6 Black P M. Meningiomas.  Neurosurgery. 1993;  32 (4) 643-657