CASE REPORT

Correction of Cranial Asymmetry with PMMA: case report

Correção de Assimetria Craniana com PMMA: relato de caso

  • Rodrigo Cadore Mafaldo (1)
  • Honório Sampaio Menezes (2)
  • Roberto Chacur (3)
  • Nívea Maria Bordin da Silva Chacur (3)
  • Danuza Dias Alves (3)
  • Fernanda Bortolozo (3)
  • Leandro Dias Gomes (2)
  • Giulia Casa Nova Barbosa (4)
  • Gabriella Andressa Marchesin de Castro (4)
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Resumo

A cranioplastia é um procedimento reconstrutivo para restaurar a anatomia craniana e reparo de defeitos ósseos ou de tecido subcutâneo. O objetivo deste estudo é apresentar o uso de polimetilmetacrilato (PMMA) como preenchedor subcutâneo para correção de deformidade craniana. Foi realizada a sua análise como um preenchedor de crânio e seu uso para correção de deformidade craniana foi efetivo e seguro.

Palavras-chave

PMMA; Preenchedor; Cranioplastia; Procedimento reconstrutivo

Abstract

Cranioplasty is a reconstructive procedure used to restore the skull anatomy and to repair defects in its bones or subcutaneous tissue. The aim of this study is to present the use of polymethylmethacrylate (PMMA) as a subcutaneous filler for the correction of skull deformities. The analysis of a PMMA filling of the skull (scalp) was performed and its use to correct cranial deformity was effective and safe.

Keywords

PMMA; Filler; Cranioplasty; Reconstructive procedure

References

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2. Desai JB. Cost-effective technique of fabrication of polymethylmethacrylate based cranial implant using three-dimensional printed moulds and wax elimination technique. J Craniofac Surg. 2019;30(4):1259-63. http://dx.doi.org/10.1097/SCS.0000000000005539. PMid:30950944.

3. Asemota A, Santiago GF, Zhong S, Gordon CR. Comparative cost analysis of single and mutli-stage temporal deformity correction following neurosurgical procedures. J Craniofac Surg. 2018;29(1):130-8. http:// dx.doi.org/10.1097/SCS.0000000000004107. PMid:29135727.

4. Huang GJ, Zhong S, Susarla SM, Swanson EW, Huang J, Gordon CR. Craniofacial reconstruction with poly(methyl methacrylate) customized cranial implants. J Craniofac Surg. 2015;26(1):64-70. http://dx.doi. org/10.1097/SCS.0000000000001315. PMid:25376145.

5. Martinez-Seijas P, Díaz-Galvis LA, Hernando J, Leizaola-Cardesa IO, Aguilar-Salvatierra A, Gómez-Moreno G. Polymethylmethacrylate custom-made prosthesis: a novel three-dimension printing-aided fabrication technique for cranial and/or orbital reconstruction. J Craniofac Surg. 2018;29(5):e438-40. http://dx.doi.org/10.1097/ SCS.0000000000004451. PMid:29521751.

6. Kung WM, Lin MS. Asimplified technique for polymethylmethacrylate cranioplasty: combined cotton stacking and finger fracture method. Brain Inj. 2012;26(13–14):1737-42. http://dx.doi.org/10.3109/026990 52.2012.698361. PMid:22759077.

7. Jaberi J, Gambrell K, Tiwana P, Madden C, Finn R. Long-term clinical outcome analysis of poly-methyl-methacrylate cranioplasty for large skull defects. J Oral Maxillofac Surg. 2013;71(2):e81-8. http:// dx.doi.org/10.1016/j.joms.2012.09.023. PMid:23351772.

8. Chacur R, Menezes H, Bordin N, et al. Replacement of gluteal implants by polymethylmethacrylate filler: case report. Plastic Surg Hand Surg. 2019;6(1):20-24. http://dx.doi.org/10.1080/23320885.20 18.1549946. PMid:32002451.

9. Chacur R, Menezes H, Bordin N, et al. Correction of poland syndrome (chest hypoplasia) using polymethylmethacrylate implant. Biome Sci Tech Res. 2019;14(1):10405-8. http://dx.doi.org/10.26717/ BJSTR.2019.14.002493.

10. Chacur R, Menezes H, Bordin N, et al. Aesthetic correction of lesion by postliposuction corticoid infiltration using subcision, PMMA filling, and CO2 laser. Plastic Surg Hand Surg. 2019;6(1):11-94.

11. Chacur R, Menezes H, Bordin N, et al. Gluteal augmentation with polymethyl methacrylate: a 10-year cohort study. Plast Reconstr Surg Glob Open. 2019;7(5):e2193. PMid:31333932.

12. Chacur R, Menezes H, Alves D, et al. Cellulite treatment using subcision and polymethylmethacrylate filling (Goldincision®): case report. Indian J Appl Res. 2019;9(9):1-2.

13. Chacur R, Menezes H, Bordin N, et al. Treatment for neck laxity with PMMA filling, microfocused ultrasound, and radio frequency CO2 laser: case report. ndian J Appl Res. 2019;9(10):8-9. http://dx.doi. org/10.36106/ijar/5114231.



(1) MD, MSc. Research center, Clínica Leger, Rio de Janeiro, RJ, Brazil.

(2) MD, PhD. Research center, Clínica Leger, Rio de Janeiro, RJ, Brazil.

(3) MD. Research center, Clínica Leger, Rio de Janeiro, RJ, Brazil.

(4) Biomedical, Research center, Clínica Leger, Rio de Janeiro, RJ, Brazil

 

Received July 3, 2020
Corrected Nov 29, 2021
Accepted Jan 25, 2022


JBNC  Brazilian Journal of Neurosurgery

  •   ISSN (print version): 0103-5118
  •   e-ISSN (online version): 2446-6786

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