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Use of Stock Titanium Mesh Plates in Cranioplasty

Madaree, Anil FRCS(Eng), FCS(Plast)(SA)*; Moyeni, Nondabula MBChB(UKZN), FCS(NS)(SA); Le Roux, Petrus Andries Jacobus MBChB(UCT), FCS(SA); Pillay, Trishan MMed(UKZN), MBChB(Wits)*

doi: 10.1097/SCS.0000000000005778
Original Articles

Craniofacial surgeons are often confronted with major defects of the calvarium. These most commonly are post-traumatic but could also be consequent upon neurosurgical procedures, infection, or tumor removal. There are several options available to reconstruct these defects including autogenous, heterogeneous, and alloplastic material. The goal is to have a method that is easy, cost-effective, with minimal complications, and long-lasting. In our unit we review 100 cases of the use of stock titanium mesh during a 5-year period. Complications occurred in 5 patients (5%) with 3 exposures, 1 late seroma and 1 case requiring repositioning of the plate following trauma. None of the patients required removal of the plate.

*Department of Plastic Surgery

Department of Neurosurgery, Inkosi Albert Luthuli Central Hospital, Nelson R Mandela School of Medicine, University of Kwazulu Natal, Durban, South Africa.

Address correspondence and reprint requests to Professor Anil Madaree, FRCS(Eng), FCS(Plast)(SA), Department of Plastic Surgery, Inkosi Albert Luthuli Central Hospital, Private Bag X03, Mayville, Durban 4058, South Africa; E-mail:

Received 15 October, 2018

Accepted 13 May, 2019

The authors report no conflicts of interest.

© 2019 by Mutaz B. Habal, MD.