Primary reconstruction of open depressed skull fractures with titanium mesh

Marbacher, Serge; Andres, Robert H; Fathi, Ali-Reza; Fandino, Javier (2008). Primary reconstruction of open depressed skull fractures with titanium mesh. Journal of craniofacial surgery, 19(2), pp. 490-5. Hagerstown, Md.: Lippincott Williams & Wilkins 10.1097/SCS.0b013e3181534ae8

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Open skull fractures have been traditionally managed in 2 stages: urgent craniotomy and elevation of the fracture with removal of contaminated bone, debridement, and delayed cranioplasty. Primary, single-stage repair of these injures has been said to entail risks such as infections. Recent experience, however, disproved these concerns.We used a primary single-stage reconstruction for patients presenting with open depressed skull fractures. All patients received antibiotic prophylaxis. The patients underwent elevation of the compound fracture and craniotomy if necessary. Debridement was performed, followed by skull reconstruction using a 0.6-mm titanium mesh.We present 5 consecutive male patients (age, 32.2 +/- 15.6 years) who underwent primary reconstruction of open depressed skull fractures. Clinical and radiologic follow-up was performed 2 months after surgery. The duration of the surgery was 2 +/- 1.6 hours. The size of the implanted mesh was 13 +/- 13.1 cm. No infection was detected in our series, with a follow-up period of 22 +/- 6.5 months (range, 16-29 months). The cosmetic result was defined in 4 patients as "excellent" and in 1 patient as "good."Primary reconstruction of open skull fractures with titanium mesh is feasible, safe, and cosmetically preferable than the conventional staged approach. The introduction into clinical practice can be warranted.

Item Type:

Journal Article (Original Article)


04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurosurgery

UniBE Contributor:

Marbacher, Serge, Andres, Robert, Fathi, Ali Reza, Fandino, Javier






Lippincott Williams & Wilkins




Factscience Import

Date Deposited:

04 Oct 2013 15:04

Last Modified:

05 Dec 2022 14:19

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URI: (FactScience: 109802)

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