Luryi AL, Schutt CA, Michaelides E, Kveton JF. Hydroxyapatite cement cranioplasty for translabyrinthine surgery: A single institution experience.
Laryngoscope 2019;
130:206-211. [PMID:
30843619 DOI:
10.1002/lary.27907]
[Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2018] [Revised: 02/05/2019] [Accepted: 02/12/2019] [Indexed: 11/06/2022]
Abstract
OBJECTIVE
To assess complication rates in hydroxyapatite cement (HAC) cranioplasty for translabyrinthine acoustic surgery compared with historical controls.
METHODS
Retrospective chart review of patients undergoing de novo translabyrinthine surgery with HAC cranioplasty without concurrent adipose tissue graft or additional material between 2010 and 2017 at a tertiary otology center.
RESULTS
Fifty-two patients underwent HAC cranioplasty during the study period. The average length of follow-up was 30.5 months. HAC cranioplasty was associated with acceptable rates of cerebrospinal fluid leak (3.8%), wound or intracranial infection (5.8%), need for unplanned revision surgery (9.6%), and all complications (15.3%). All complications occurred within 5 months of surgery. No delayed wound infections or implant extrusions occurred.
CONCLUSION
HAC cranioplasty has an acceptable complication profile for translabyrinthine surgery and is a viable alternative to abdominal fat grafting without associated donor site morbidity.
LEVEL OF EVIDENCE
4 Laryngoscope, 130:206-211, 2020.
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