Reconstruction of Growing Skull Fracture With In Situ Galeal Graft Duraplasty and Porous Polyethylene Sheet

Abstract

Objective: In growing skull fractures With large calvarial defects, it is difficult to use autografts for reconstruction and it requires alternative materials for cranioplasty. In this report, the authors describe their experience and introduce reconstruction of the growing skull fractures' defects with a porous polyethylene sheet (Medpor) and with a novel technique of duraplasty with in situ galeal graft, which avoid the potentially risky dissection land exposure of brain tissue. The goal of this study was to clarify effective surgical methods and to provide the rationale for these techniques.