Cranioplasty with polymethyl methacrylate implant: solutions of pitfalls

Abstract

Abstract Background Cranioplasty is important to cover defects following skull surgery and trauma for restoration of function and cosmoses. The objective of the study is to describe the author’s technical experience with the use of polymethyl methacrylate (PMMA) implant for cranioplasty to achieve the best results and avoid complications. Methods The author describes the indications, locations and operative techniques of cranioplasty using polymethyl methacrylate (PMMA) implant for 75 patients. The implant was used to cover any small- or medium-sized (< 8 cm) cranial defect. Techniques have been done to facilitate reconstruction and to avoid complications to get excellent outcome. Results This implant has been utilized in cases with excellent cosmetic results and no implant-related complications. Conclusions Polymethyl methacrylate cranioplasty is a widely performed neurosurgical procedure with good cosmetic outcome and with little related implant complications when done in the proper time and proper techniques.

Keywords

• Cranioplasty
• Polymethyl methacrylate
• Skull defect