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  • Title: Osteoregenerative lateral suboccipital craniectomy using fibrin glue.
    Author: Sawamura Y, Terasaka S, Ishii N, Tada M, Abe H.
    Journal: Acta Neurochir (Wien); 1997; 139(5):446-51; discussion 451-2. PubMed ID: 9204115.
    Abstract:
    This report describes a simple technique of cranioplasty for suboccipital craniectomy and the results of a clinical study to assess the effects of fibrin glue on regeneration of the skull. Cranioplasty using a mixture of autologous bone chips and human allogenic fibrin glue was performed in 31 patients who received lateral suboccipital craniectomy. Long-term observations with three-dimensional CT showed satisfactory reconstruction of the mastoid-occipital bone plate in 25 patients (81%); among them, a nearly complete reconstruction of the occipital bone (plate) was found in 14 patients. Regeneration of the bone began 6 months after surgery on the inner surface, adjacent to the dura mater. In conclusion, the present technique provides a new simple method to restore an autologous bone plate in a cranial defect made by piecemeal craniectomy.
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