J Korean Soc Plast Reconstr Surg.  2003 Sep;30(5):541-544.

Rigid Fixation of Methylmethacrylate on Cranioplasty: Internal Screw-Locking Method

• Lee WJ
• Park Y
• Park BY

Abstract

Methylmethacrylate has been proven to be successful in craniofacial alloplastic contouring surgery over several decades. Especially, for the patient with only forehead irregularity after the skull trauma, the alloplastic contouring surgery with methylmethacrylate onlay implant is the choice of treatment. The major advantage of methylmethacrylate is that it is completely malleable in the initial stages of hardening, thus permitting an optimal contouring. However, due to its incapability of direct bonding to the surrounding tissues and consequent lack of fixation, additional fixation technique is necessary. Several different methods have been established to prefabricate methylmethacrylate for cranioplasty, but they are complex; no one-stage procedure. In case of forehead irregularity we performed craniofacial contouring using methylmethacrylate and fixation with internal screw-locking method. Firm fixation, molding in situ, and easiness of manipulation are potential advantages over previously established methods.

Keyword

Methylmethacrylate; Cranioplasty; Internal screw-locking

MeSH Terms

Forehead
Fungi
Humans
Inlays
Methylmethacrylate*
Skull
Methylmethacrylate