Weitao Wang1, Aurora Vincent1, Arash Bahrami2, Tom Shokri3, Jared Inman4, Yadranko Ducic1. 1. Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas, U.S.A. 2. Department of Otolaryngology-Head and Neck Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania, U.S.A. 3. Department of Otolaryngology-Head and Neck Surgery, The Pennsylvania State University, Hershey, Pennsylvania, U.S.A. 4. Department of Otolaryngology Head and Neck Surgery, Loma Linda University Medical Center, Loma Linda, California, U.S.A.
Abstract
OBJECTIVES: To evaluate the role of lipotransfer in progressive scalp thinning following titanium mesh cranioplasty. METHODS: Retrospective review of single surgeon, single tertiary referral experience of all patients who underwent mesh cranioplasty. Patient demographics, prior radiotherapy, frequency and timing of scalp thinning, and treatment course data were obtained. RESULTS: A total of 144 patients were included, 77 male and 67 female with mean ages 58.2 and 54.8, respectively. One hundred four patients (72%) developed mesh exposure or impending exposure requiring reconstruction. Fifty-six patients (54%) with scalp thinning were treated with lipotransfer, 40 of which were salvaged and the remainder of these patients definitively managed with cranioplasty and reconstruction. Prior radiotherapy was found to be associated with higher rates of mesh exposure (P = .0028), but not predictive of response to lipotransfer. CONCLUSION: Lipotransfer is a useful technique in managing moderate scalp thinning following mesh cranioplasty. Mesh exposure or severe thinning require definitive cranioplasty and reconstruction. LEVEL OF EVIDENCE: IV Laryngoscope, 130: 1926-1931, 2020.
OBJECTIVES: To evaluate the role of lipotransfer in progressive scalp thinning following titanium mesh cranioplasty. METHODS: Retrospective review of single surgeon, single tertiary referral experience of all patients who underwent mesh cranioplasty. Patient demographics, prior radiotherapy, frequency and timing of scalp thinning, and treatment course data were obtained. RESULTS: A total of 144 patients were included, 77 male and 67 female with mean ages 58.2 and 54.8, respectively. One hundred four patients (72%) developed mesh exposure or impending exposure requiring reconstruction. Fifty-six patients (54%) with scalp thinning were treated with lipotransfer, 40 of which were salvaged and the remainder of these patients definitively managed with cranioplasty and reconstruction. Prior radiotherapy was found to be associated with higher rates of mesh exposure (P = .0028), but not predictive of response to lipotransfer. CONCLUSION: Lipotransfer is a useful technique in managing moderate scalp thinning following mesh cranioplasty. Mesh exposure or severe thinning require definitive cranioplasty and reconstruction. LEVEL OF EVIDENCE: IV Laryngoscope, 130: 1926-1931, 2020.
Authors: Xin Liu; Yudi Han; Lei Cui; Jun Shu; Lingli Guo; Ran Tao; Yonghong Lei; Yan Han Journal: Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi Date: 2022-07-15
Authors: Grzegorz J Kwiecien; Nicholas Sinclair; Demetrius M Coombs; Risal S Djohan; David Mihal; James E Zins Journal: Plast Reconstr Surg Glob Open Date: 2020-08-25