Afri. J. Neuro. Sci. Vol. 16 No. 1 Jan 1997
CRANIOPLASTY WITH INNER TABLE OF BONE FLAP IN CHILDREN:
REPORT OF TWO CASES
R.F. RUBERTI
African Neurological Diseases. Research Foundation - Nairobi,
Kenya.
Code Number:NS97004
Cranioplasty is performed with various materials
and autogenous bone. Since 1956 the Author has adopted the
cranioplasty with aerilic resin in 149 consecutive cases and is
satisfied with this technique in adult patients, less so in
children where, due to the growing of the head and growing of the
bone around the skull defect the acrilic cranioplasty can be
displaced with bad cosmetic results so much that often it requires
redoing. For this reasons the Author has adopted recently the
cranioplasty with inner table of bone flap as described by KAZUHIKO
et al in 1985. This technique has been used to repair the skull
defect in two children with very satisfactory results. It is worth
reporting this method of grafting applicable in various situations,
particularly in children and especially in Africa where acrilic
resin may not be available.
RESUME
Les cranioplasties sont effectuees avec
differents materiaux et avec de l'os autogenique. Depuis 1956,
l'auteur a utilise dans 149 cas la resine acrylique avec
satisfaction chez les adultes. Chez les enfants, par contre, en
raison de la croissane du crane, la cranioplastie acrylique peut se
deplacer, de telle sorte qu'il faut souvent la refaire. C'est
pourquoi l'auteur a recemment utilise la table interne de l'os
comme lambeau, selon la technique decrite par KAZUHIKO et al en
1985. Elle a ete utilisee chez deux enlants avec d'excellents
resultats. En outre, ce type de greffe peut etre utilise dans
differents cas chez les enfants, tout particulierement en Afrique
ou la resine acrylique n'est pas toujours disponible.
Key words: Cranioplasty - autogenous - bone.-
children.
Copyright 1995 Pan African Association of Neurological Sciences