Infectious risk of using biomaterials for cranioplasty: polymethylmethacrylate vs. autologous bone

Authors

DOI:

https://doi.org/10.33448/rsd-v11i8.30483

Keywords:

PMMA; Polymethylmethacrylate; Infection; Neurosurgery; Health teaching.

Abstract

This study aimed to describe the infectious risks of using autologous bone and PMMA in cranioplasty. This is an integrative literature review of a qualitative and descriptive nature. The bibliographic survey was carried out in March and April 2022 by searching the Scientific Electronic Library Online (SciELO), Virtual Health Library (BVS), Public Medline (PubMed) and Science Direct databases and libraries. The inclusion criteria for the selection of studies were: articles published in full between the years 2013 to 2022, in English. The exclusion criteria were: monographs, dissertations, theses, Course Conclusion Papers (TCC), publications in annals of events, literature reviews and duplicate articles in one or more databases. By analyzing the articles included in this review, some authors consider that there are no significant differences regarding the infectious risk in the use of PMMA prosthesis and autologous bone, as raw material for cranioplasty. One study evaluated the impact of using antibiotics in PMMA prostheses in cranioplasty with moderate to large defects. Another study analyzed the use of prefabricated and pre-sterilized PMMA as cranioplasty material in the Indian population. One study says that prior craniotomy and PMMA cranioplasty were associated with a higher rate of postoperative infection. In another article, cranial reconstruction with autologous bone presented greater complications. The use of PMMA in cranioplasty compared to autologous bone has different outcomes in the literature.

References

Anchieta, M. V. M., Salles, F. A., Cassaro, B. D., Quaresma, M. M., & Santos, B. F. O. (2016). Skull reconstruction after resection of bone tumors in a single surgical time by the association of the techniques of rapid prototyping and surgical navigation. International Journal of Computer Assisted Radiology and Surgery, 11(10), 1919–1925. https://doi.org/10.1007/s11548-016-1415-2

Bobinski, L., Koskinen, L.-O. D., & Lindvall, P. (2013). Complications following cranioplasty using autologous bone or polymethylmethacrylate—Retrospective experience from a single center. Clinical Neurology and Neurosurgery, 115(9), 1788–1791. https://doi.org/10.1016/j.clineuro.2013.04.013

Kim, S. H., Kang, D. S., Cheong, J. H., Kim, J. H., Song, K. Y., & Kong, M. H. (2017). Comparison of Complications Following Cranioplasty Using a Sterilized Autologous Bone Flap or Polymethyl Methacrylate. Korean Journal of Neurotrauma, 13(1), 15–23. https://doi.org/10.13004/kjnt.2017.13.1.15

Maricevich, J. P. B. R., Cezar-Junior, A. B., de Oliveira-Junior, E. X., Veras e Silva, J. A. M., da Silva, J. V. L., Nunes, A. A., Almeida, N. S., & Azevedo-Filho, H. R. C. (2019). Functional and aesthetic evaluation after cranial reconstruction with polymethyl methacrylate prostheses using low-cost 3D printing templates in patients with cranial defects secondary to decompressive craniectomies: A prospective study. Surgical Neurology International, 10, 1. https://doi.org/10.4103/sni.sni_149_18

Morhardt, D. R., Mauney, J. R., & Estrada, C. R. (2019). Role of Biomaterials in Surgery. Em R. L. Reis (Org.), Encyclopedia of Tissue Engineering and Regenerative Medicine (p. 315–330). Academic Press. https://doi.org/10.1016/B978-0-12-801238-3.65845-2

Piitulainen, J. M., Kauko, T., Aitasalo, K. M. J., Vuorinen, V., Vallittu, P. K., & Posti, J. P. (2015). Outcomes of Cranioplasty with Synthetic Materials and Autologous Bone Grafts. World Neurosurgery, 83(5), 708–714. https://doi.org/10.1016/j.wneu.2015.01.014

Santos, C. M. da C., Pimenta, C. A. de M., & Nobre, M. R. C. (2007). A estratégia PICO para a construção da pergunta de pesquisa e busca de evidências. Revista Latino-Americana de Enfermagem, 15, 508–511. https://doi.org/10.1590/S0104-11692007000300023

Sari, R., Tonge, M., Bolukbasi, F. H., Onoz, M., Baskan, O., Silav, G., & Elmaci, I. (2017). Management of Failed Cranioplasty. Turkish Neurosurgery, 27(2), 201–207. https://doi.org/10.5137/1019-5149.JTN.15395-15.0

Sharavanan, G. M., Jayabalan, S., Rajasukumaran, K., Veerasekar, G., & Sathya, G. (2015). Cranioplasty using presurgically fabricated presterilised polymethyl methacrylate plate by a simple, cost-effective technique on patients with and without original bone flap: Study on 29 patients. Journal of Maxillofacial and Oral Surgery, 14(2), 378–385. https://doi.org/10.1007/s12663-014-0670-4

Souza, M. T. de, Silva, M. D. da, & Carvalho, R. de. (2010). Revisão integrativa: O que é e como fazer. einstein (São Paulo), 8(1), 102–106. https://doi.org/10.1590/s1679-45082010rw1134

Vince, G. H., Kraschl, J., Rauter, H., Stein, M., Grossauer, S., & Uhl, E. (2019). Comparison between autologous bone grafts and acrylic (PMMA) implants—A retrospective analysis of 286 cranioplasty procedures. Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia, 61, 205–209. https://doi.org/10.1016/j.jocn.2018.10.017

Winn, H. R. (2016). Youmans and Winn Neurological Surgery—INK (7a edição). Elsevier.

Worm, P. V., do Nascimento, T. L., do Couto Nicola, F., Sanches, E. F., Dos Santos Moreira, C. F., Rogério, L. P. W., Dos Reis, M. M., Finger, G., & Collares, M. V. M. (2016). Polymethylmethacrylate imbedded with antibiotics cranioplasty: An infection solution for moderate and large defects reconstruction? Surgical Neurology International, 7(Suppl 28), S746–S751. https://doi.org/10.4103/2152-7806.193725

Yeap, M.-C., Tu, P.-H., Liu, Z.-H., Hsieh, P.-C., Liu, Y.-T., Lee, C.-Y., Lai, H.-Y., Chen, C.-T., Huang, Y.-C., Wei, K.-C., Wu, C.-T., & Chen, C.-C. (2019). Long-Term Complications of Cranioplasty Using Stored Autologous Bone Graft, Three-Dimensional Polymethyl Methacrylate, or Titanium Mesh After Decompressive Craniectomy: A Single-Center Experience After 596 Procedures. World Neurosurgery, 128, e841–e850. https://doi.org/10.1016/j.wneu.2019.05.005

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Published

06/06/2022

How to Cite

SOUZA, L. S.; SANTOS, A. A. de C.; CARVALHO, J. V. de A. .; BEZERRA, A. G. L. .; SALES, A. M. S. .; ROBLES, M. A. S.; ALMEIDA, L. M. G. F. de .; CASTRO, M. C. da S. .; FREIRE, N. C. .; SANTOS, B. F. de O. . Infectious risk of using biomaterials for cranioplasty: polymethylmethacrylate vs. autologous bone. Research, Society and Development, [S. l.], v. 11, n. 8, p. e0511830483, 2022. DOI: 10.33448/rsd-v11i8.30483. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/30483. Acesso em: 23 nov. 2024.

Issue

Vol. 11 No. 8

Section

Review Article

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Copyright (c) 2022 Lucas Santos Souza; Ainatna Adgena de Carvalho Santos; João Victor de Andrade Carvalho; Amanda Gomes Lima Bezerra; Alexia Morgana Santos Sales; Marco Antonio Silva Robles; Luciana Montalvão Gois Figueiredo de Almeida; Maria Clara da Silva Castro; Nathan Correia Freire; Bruno Fernandes de Oliveira Santos

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