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Osteoregenerative lateral suboccipital craniectomy using fibrin glue

Technical note

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Summary

This report describes a simple technique of cranioplasty for suboccipital craniectomy and the results of a clinical study to assess the effects of fibrin glue on regeneration of the skull. Cranioplasty using a mixture of autologous bone chips and human allogenic fibrin glue was performed in 31 patients who received lateral suboccipital craniectomy. Long-term observations with three-dimensional CT showed satisfactory reconstruction of the mastoid-occipital bone plate in 25 patients (81%); among them, a nearly complete reconstruction of the occipital bone (plate) was found in 14 patients. Regeneration of the bone began 6 months after surgery on the inner surface, adjacent to the dura mater. In conclusion, the present technique provides a new simple method to restore an autologous bone plate in a cranial defect made by piecemeal craniectomy.

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Author notes

  1. Y. Sawamura

    Present address: Department of Neurosurgery, University of Hokkaido School of Medicine, Sapporo, Japan

Authors and Affiliations

  1. Department of Neurosurgery, University of Hokkaido School of Medicine, Sapporo, Japan

    S. Terasaka, N. Ishii, M. Tada & H. Abe

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  1. Y. Sawamura
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  2. S. Terasaka
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  3. N. Ishii
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  4. M. Tada
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  5. H. Abe
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Sawamura, Y., Terasaka, S., Ishii, N. et al. Osteoregenerative lateral suboccipital craniectomy using fibrin glue. Acta neurochir 139, 446–452 (1997). https://doi.org/10.1007/BF01808882

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