Archives of Plastic Surgery

  • 제49권6호
  • /
  • Pages.740-744
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  • 2022
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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Cranioplasty Using Three-Dimensional-Printed Polycaprolactone Implant and Free Latissimus Dorsi Musculocutaneous Flap in a Patient with Repeated Wound Problem following Titanium Cranioplasty

  • Hee Tae Koo (Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Jeongseok Oh (Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Chan Yeong Heo (Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine)
  • 투고 : 2021.09.30
  • 심사 : 2022.02.17
  • 발행 : 2022.11.15
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초록

Titanium mesh is an alloplastic material widely used for the reconstruction of moderate-to-large skull defects. Repeated wound problems or infection following these reconstructions inevitably lead to the replacement of the cranioplasty material. Among the various alloplastic materials, polycaprolactone implants are usually used for the coverage of small defects such as burr holes. Herein, we present a case of a large cranial defect successfully reconstructed with three-dimensional-printed polycaprolactone implant and a free latissimus dorsi musculocutaneous flap. Until 1-year followup, the patient showed a favorable esthetic outcome with no complications or wound relapse.

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참고문헌

  1. Low SW, Ng YJ, Yeo TT, Chou N. Use of osteoplug polycaprolactone implants as novel burr-hole covers. Singapore Med J 2009;50(08):777-780 
  2. Cho HR, Roh TS, Shim KW, Kim YO, Lew DH, Yun IS. Skull reconstruction with custom made three-dimensional titanium implant. Arch Craniofac Surg 2015;16(01):11-16  https://doi.org/10.7181/acfs.2015.16.1.11
  3. Kwiecien GJ, Rueda S, Couto RA, et al. Long-term outcomes of cranioplasty: titanium mesh is not a long-term solution in high-risk patients. Ann Plast Surg 2018;81(04):416-422  https://doi.org/10.1097/SAP.0000000000001559
  4. Maqbool T, Binhammer A, Binhammer P, Antonyshyn OM. Risk factors for titanium mesh implant exposure following cranioplasty. J Craniofac Surg 2018;29(05):1181-1186  https://doi.org/10.1097/SCS.0000000000004479
  5. Yogishwarappa CN, Srinivasan S, Teoh SH, et al. Customized osteomesh cranioplasty. Journal of Advanced Plastic Surgery Research 2016;2:25-32  https://doi.org/10.31907/2414-2093.2016.02.05
  6. Dong L, Dong Y, Liu C, et al. Latissimus dorsi-myocutaneous flap in the repair of titanium mesh exposure and scalp defect after cranioplasty. J Craniofac Surg 2020;31(02):351-354  https://doi.org/10.1097/SCS.0000000000006016
  7. Morice A, Kolb F, Picard A, Kadlub N, Puget S. Reconstruction of a large calvarial traumatic defect using a custom-made porous hydroxyapatite implant covered by a free latissimus dorsi muscle flap in an 11-year-old patient. J Neurosurg Pediatr 2017;19(01):51-55  https://doi.org/10.3171/2016.8.PEDS1653
  8. Scaglioni MF, Giunta G. Reconstruction of cranioplasty using the thoracodorsal artery perforator (TDAP) flap: a case series. Microsurgery 2019;39(03):207-214  https://doi.org/10.1002/micr.30345
  9. Dwivedi R, Kumar S, Pandey R, et al. Polycaprolactone as biomaterial for bone scaffolds: review of literature. J Oral Biol Craniofac Res 2020;10(01):381-388  https://doi.org/10.1016/j.jobcr.2019.10.003
  10. Farnezi Bassi AP, Ferreira Bizelli V, Mello Francatti T, et al. Bone regeneration assessment of polycaprolactone membrane on critical-size defects in rat calvaria. Membranes (Basel) 2021;11(02):12 
  11. Jensen J, Rolfing JHD, Le DQ, et al. Surface-modified functionalized polycaprolactone scaffolds for bone repair: in vitro and in vivo experiments. J Biomed Mater Res A 2014;102(09):2993-3003  https://doi.org/10.1002/jbm.a.34970
  12. Gredes T, Schonitz S, Gedrange T, Stepien L, Kozak K, Kunert-Keil C. In vivo analysis of covering materials composed of biodegradable polymers enriched with flax fibers. Biomater Res 2017;21(01):8 
  13. Rindone AN, Nyberg E, Grayson WL. 3D-printing composite polycaprolactone-decellularized bone matrix scaffolds for bone tissue engineering applications. In: Decellularized Scaffolds and Organogenesis. New York, NY:: Humana Press;; 2017:209-226 
  14. Patel JJ. Single and dual growth factor delivery from poly-ε-caprolactone scaffolds for pre-fabricated bone flap engineering [dissertation]. Ann Arbor, Michigan:: University of Michigan,; 2015 
  15. El-Habashy SE, Eltaher HM, Gaballah A, Zaki EI, Mehanna RA, El-Kamel AH. Hybrid bioactive hydroxyapatite/polycaprolactone nanoparticles for enhanced osteogenesis. Mater Sci Eng C 2021;119:111599