Single-staged resections and 3D reconstructions of the nasion, glabella, medial orbital wall, and frontal sinus and bone

Long-term outcome and review of the literature

Jeremy Ciporen, Brandon Lucke-Wold, Gustavo Mendez, Anton Chen, Amit Banerjee, Paul Akins, Ben Balough

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Aesthetic facial appearance following neurosurgical ablation of frontal fossa tumors is a primary concern for patients and neurosurgeons alike. Craniofacial reconstruction procedures have drastically evolved since the development of three-dimensional computed tomography imaging and computer-assisted programming. Traditionally, two-stage approaches for resection and reconstruction were used; however, these two-stage approaches have many complications including cerebrospinal fluid leaks, necrosis, and pneumocephalus. Case Description: We present two successful cases of single-stage osteoma resection and craniofacial reconstruction in a 26-year-old female and 65-year-old male. The biopolymer implants were preselected and contoured based on imaging prior to surgery. The ideal selection of appropriate flaps for reconstruction was imperative. The flaps were well vascularized and included a pedicle for easy translocation. Using a titanium mesh biopolymer implant for reconstruction in conjunction with a forehead flap proved advantageous, and the benefits of single-stage approaches were apparent. The patients recovered quickly after the surgery with complete resection of the osteoma and good aesthetic appearance. The flap adhered to the biopolymer implant, and the cosmetic appearance years after surgery remained decent. The gap between the bone and implant was less than 2 mm. The patients are highly satisfied with the symmetrical appearance of the reconstruction. Conclusions: Advances in technology are allowing neurosurgeons unprecedented opportunities to design complex yet feasible single-stage craniofacial reconstructions that improve a patient′s quality of life by enhancing facial contours, aesthetics, and symmetry.

Original languageEnglish (US)
Pages (from-to)S1107-S1112
JournalSurgical Neurology International
Volume7
Issue number44
DOIs
StatePublished - 2016

Fingerprint

Frontal Bone
Frontal Sinus
Biopolymers
Esthetics
Osteoma
Pneumocephalus
Forehead
Titanium
Cosmetics
Necrosis
Tomography
Quality of Life
Technology
Bone and Bones
Neoplasms
Neurosurgeons

Keywords

  • Biopolymers
  • craniofacial reconstruction
  • implants
  • osteoma
  • single-stage approach

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Single-staged resections and 3D reconstructions of the nasion, glabella, medial orbital wall, and frontal sinus and bone : Long-term outcome and review of the literature. / Ciporen, Jeremy; Lucke-Wold, Brandon; Mendez, Gustavo; Chen, Anton; Banerjee, Amit; Akins, Paul; Balough, Ben.

In: Surgical Neurology International, Vol. 7, No. 44, 2016, p. S1107-S1112.

Research output: Contribution to journalArticle

Ciporen, Jeremy ; Lucke-Wold, Brandon ; Mendez, Gustavo ; Chen, Anton ; Banerjee, Amit ; Akins, Paul ; Balough, Ben. / Single-staged resections and 3D reconstructions of the nasion, glabella, medial orbital wall, and frontal sinus and bone : Long-term outcome and review of the literature. In: Surgical Neurology International. 2016 ; Vol. 7, No. 44. pp. S1107-S1112.
@article{1600a1b80daf49c69cbdb56e3f017646,
title = "Single-staged resections and 3D reconstructions of the nasion, glabella, medial orbital wall, and frontal sinus and bone: Long-term outcome and review of the literature",
abstract = "Background: Aesthetic facial appearance following neurosurgical ablation of frontal fossa tumors is a primary concern for patients and neurosurgeons alike. Craniofacial reconstruction procedures have drastically evolved since the development of three-dimensional computed tomography imaging and computer-assisted programming. Traditionally, two-stage approaches for resection and reconstruction were used; however, these two-stage approaches have many complications including cerebrospinal fluid leaks, necrosis, and pneumocephalus. Case Description: We present two successful cases of single-stage osteoma resection and craniofacial reconstruction in a 26-year-old female and 65-year-old male. The biopolymer implants were preselected and contoured based on imaging prior to surgery. The ideal selection of appropriate flaps for reconstruction was imperative. The flaps were well vascularized and included a pedicle for easy translocation. Using a titanium mesh biopolymer implant for reconstruction in conjunction with a forehead flap proved advantageous, and the benefits of single-stage approaches were apparent. The patients recovered quickly after the surgery with complete resection of the osteoma and good aesthetic appearance. The flap adhered to the biopolymer implant, and the cosmetic appearance years after surgery remained decent. The gap between the bone and implant was less than 2 mm. The patients are highly satisfied with the symmetrical appearance of the reconstruction. Conclusions: Advances in technology are allowing neurosurgeons unprecedented opportunities to design complex yet feasible single-stage craniofacial reconstructions that improve a patient′s quality of life by enhancing facial contours, aesthetics, and symmetry.",
keywords = "Biopolymers, craniofacial reconstruction, implants, osteoma, single-stage approach",
author = "Jeremy Ciporen and Brandon Lucke-Wold and Gustavo Mendez and Anton Chen and Amit Banerjee and Paul Akins and Ben Balough",
year = "2016",
doi = "10.4103/2152-7806.196773",
language = "English (US)",
volume = "7",
pages = "S1107--S1112",
journal = "Surgical Neurology International",
issn = "2152-7806",
publisher = "Medknow Publications and Media Pvt. Ltd",
number = "44",

}

TY - JOUR

T1 - Single-staged resections and 3D reconstructions of the nasion, glabella, medial orbital wall, and frontal sinus and bone

T2 - Long-term outcome and review of the literature

AU - Ciporen, Jeremy

AU - Lucke-Wold, Brandon

AU - Mendez, Gustavo

AU - Chen, Anton

AU - Banerjee, Amit

AU - Akins, Paul

AU - Balough, Ben

PY - 2016

Y1 - 2016

N2 - Background: Aesthetic facial appearance following neurosurgical ablation of frontal fossa tumors is a primary concern for patients and neurosurgeons alike. Craniofacial reconstruction procedures have drastically evolved since the development of three-dimensional computed tomography imaging and computer-assisted programming. Traditionally, two-stage approaches for resection and reconstruction were used; however, these two-stage approaches have many complications including cerebrospinal fluid leaks, necrosis, and pneumocephalus. Case Description: We present two successful cases of single-stage osteoma resection and craniofacial reconstruction in a 26-year-old female and 65-year-old male. The biopolymer implants were preselected and contoured based on imaging prior to surgery. The ideal selection of appropriate flaps for reconstruction was imperative. The flaps were well vascularized and included a pedicle for easy translocation. Using a titanium mesh biopolymer implant for reconstruction in conjunction with a forehead flap proved advantageous, and the benefits of single-stage approaches were apparent. The patients recovered quickly after the surgery with complete resection of the osteoma and good aesthetic appearance. The flap adhered to the biopolymer implant, and the cosmetic appearance years after surgery remained decent. The gap between the bone and implant was less than 2 mm. The patients are highly satisfied with the symmetrical appearance of the reconstruction. Conclusions: Advances in technology are allowing neurosurgeons unprecedented opportunities to design complex yet feasible single-stage craniofacial reconstructions that improve a patient′s quality of life by enhancing facial contours, aesthetics, and symmetry.

AB - Background: Aesthetic facial appearance following neurosurgical ablation of frontal fossa tumors is a primary concern for patients and neurosurgeons alike. Craniofacial reconstruction procedures have drastically evolved since the development of three-dimensional computed tomography imaging and computer-assisted programming. Traditionally, two-stage approaches for resection and reconstruction were used; however, these two-stage approaches have many complications including cerebrospinal fluid leaks, necrosis, and pneumocephalus. Case Description: We present two successful cases of single-stage osteoma resection and craniofacial reconstruction in a 26-year-old female and 65-year-old male. The biopolymer implants were preselected and contoured based on imaging prior to surgery. The ideal selection of appropriate flaps for reconstruction was imperative. The flaps were well vascularized and included a pedicle for easy translocation. Using a titanium mesh biopolymer implant for reconstruction in conjunction with a forehead flap proved advantageous, and the benefits of single-stage approaches were apparent. The patients recovered quickly after the surgery with complete resection of the osteoma and good aesthetic appearance. The flap adhered to the biopolymer implant, and the cosmetic appearance years after surgery remained decent. The gap between the bone and implant was less than 2 mm. The patients are highly satisfied with the symmetrical appearance of the reconstruction. Conclusions: Advances in technology are allowing neurosurgeons unprecedented opportunities to design complex yet feasible single-stage craniofacial reconstructions that improve a patient′s quality of life by enhancing facial contours, aesthetics, and symmetry.

KW - Biopolymers

KW - craniofacial reconstruction

KW - implants

KW - osteoma

KW - single-stage approach

UR - http://www.scopus.com/inward/record.url?scp=85009110174&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85009110174&partnerID=8YFLogxK

U2 - 10.4103/2152-7806.196773

DO - 10.4103/2152-7806.196773

M3 - Article

VL - 7

SP - S1107-S1112

JO - Surgical Neurology International

JF - Surgical Neurology International

SN - 2152-7806

IS - 44

ER -