Abstract
Rationale: The three-dimensional (3D) computer-made titanium mesh is widely used in the skull repair for those patients receiving decompression of the bone flap. It can restore normal anatomy to a greater extent and make a better appearance. Case Presentation: We reported two cases of patients admitted to our hospital who have experienced high scalp tension after skull repair. At first, these two patients underwent decompression of the bone flap, and the physical examination results showed a defect of skull. No neurological symptoms and signs were found. The 3D computed tomography (CT) reconstruction of skull was performed, and then the skull repair with 3D titanium mesh was conducted. But because of high scalp tension, they underwent a second operation, during which we re-trimmed and reduce the arc of the titanium mesh. The scalp incision of both patients healed well and no titanium mesh was exposed. Both patients have a good prognosis. Lessons: We highlight that the high tension of scalp due to overstretching after 3D titanium mesh repair for skull defect should be paid much attention to. Trimming and reducing the arc of titanium mesh is an effective treatment for this situation.
Highlights
Case Presentation: We reported two cases of patients admitted to our hospital who have experienced high scalp tension after skull repair
Lessons: We highlight that the high tension of scalp due to overstretching after 3D titanium mesh repair for skull defect should be paid much attention to
In spite of some authors believed that complications are rare after cranioplasty with three-dimensional titanium mesh [3], we have noticed that, in our clinical work, after the titanium mesh restored the normal physiological curvature of the margin of skull, the tension of scalp increased due to overstretching, resulting in a series of complications
Summary
In spite of some authors believed that complications are rare after cranioplasty with three-dimensional titanium mesh [3], we have noticed that, in our clinical work, after the titanium mesh restored the normal physiological curvature of the margin of skull, the tension of scalp increased due to overstretching, resulting in a series of complications. This is a major drawback that neurosurgeons are not paying much attention to. The patients had been anonymized and the informed consent was acquired
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