Cranioplasty with inner table of bone flap in children. Report of two cases

Afri.J. Neur. Sci. Vol.16 No.2 July 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:NS97009 SUMMARY Cranioplasty is performed with various materials and autogenous bone. Since 1956 the Author has adopted the cranioplasty with acrilic 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 detect 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 taut souvent la retaire. 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 entants avec d'excellents resultats. En outre. ce type de grefle peut etre utilise dans differents cas chez les entants. tout particulierement en Atrique ou la resine acrylique n'est pas touiours disponible. Key words: Cranioplasty - autogenous bone children. Copyright 1997 Pan African Association of Neurological Science