Tags

Type your tag names separated by a space and hit enter

Split Calvarial Bone Graft for Reconstruction of Skull Defect in Langerhans Cell Histiocytosis.
J Craniofac Surg. 2020 Jul 01 [Online ahead of print]JC

Abstract

Langerhans cell histiocytosis (LCH) is a rare disease in which histiocytes proliferates in several tissues. It mainly occurs in children between 1 and 15 years of age, and affects bone especially the skull being the most common site of invasion. It is desirable to reconstruct the skull defect after surgical removal of the lesion with autologous bone considering the fact that this disease affects children who continuously experience the deformation and growth of the frontal head. We introduce a case report who reconstructs the skull defect using split calvarial bone graft in LCH. A 3-year-old male visited the hospital with a painful, palpable protruding mass in the frontal area lasting 1 month. Craniectomy with skull tumor removal was performed by neurosurgeon, after that we harvested a calvarial bone graft and carefully separated the outer cortex from the inner cortex. Then, we covered the donor site with the inner cortex while covered the bone defect with the outer cortex and fixed with absorbable plates. The patient showed palpable mass at 1-year follow-up but it disappeared. After 5 years, there was no recurrence, the lytic lesion of the skull was resolved, and showed cosmetically good result. We conclude that the palpable lesion was more likely to be the result of postoperative swelling of the plate. We propose split calvarial bone graft as a good treatment option for reconstruction of the skull defect in LCH.

Authors+Show Affiliations

Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32649565

Citation

Baek, Sang Oon, et al. "Split Calvarial Bone Graft for Reconstruction of Skull Defect in Langerhans Cell Histiocytosis." The Journal of Craniofacial Surgery, 2020.
Baek SO, Kim J, Lee JY. Split Calvarial Bone Graft for Reconstruction of Skull Defect in Langerhans Cell Histiocytosis. J Craniofac Surg. 2020.
Baek, S. O., Kim, J., & Lee, J. Y. (2020). Split Calvarial Bone Graft for Reconstruction of Skull Defect in Langerhans Cell Histiocytosis. The Journal of Craniofacial Surgery. https://doi.org/10.1097/SCS.0000000000006663
Baek SO, Kim J, Lee JY. Split Calvarial Bone Graft for Reconstruction of Skull Defect in Langerhans Cell Histiocytosis. J Craniofac Surg. 2020 Jul 1; PubMed PMID: 32649565.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Split Calvarial Bone Graft for Reconstruction of Skull Defect in Langerhans Cell Histiocytosis. AU - Baek,Sang Oon, AU - Kim,Jaewon, AU - Lee,Jun Yong, Y1 - 2020/07/01/ PY - 2020/7/11/entrez PY - 2020/7/11/pubmed PY - 2020/7/11/medline JF - The Journal of craniofacial surgery JO - J Craniofac Surg N2 - Langerhans cell histiocytosis (LCH) is a rare disease in which histiocytes proliferates in several tissues. It mainly occurs in children between 1 and 15 years of age, and affects bone especially the skull being the most common site of invasion. It is desirable to reconstruct the skull defect after surgical removal of the lesion with autologous bone considering the fact that this disease affects children who continuously experience the deformation and growth of the frontal head. We introduce a case report who reconstructs the skull defect using split calvarial bone graft in LCH. A 3-year-old male visited the hospital with a painful, palpable protruding mass in the frontal area lasting 1 month. Craniectomy with skull tumor removal was performed by neurosurgeon, after that we harvested a calvarial bone graft and carefully separated the outer cortex from the inner cortex. Then, we covered the donor site with the inner cortex while covered the bone defect with the outer cortex and fixed with absorbable plates. The patient showed palpable mass at 1-year follow-up but it disappeared. After 5 years, there was no recurrence, the lytic lesion of the skull was resolved, and showed cosmetically good result. We conclude that the palpable lesion was more likely to be the result of postoperative swelling of the plate. We propose split calvarial bone graft as a good treatment option for reconstruction of the skull defect in LCH. SN - 1536-3732 UR - https://www.unboundmedicine.com/medline/citation/32649565/Split_Calvarial_Bone_Graft_for_Reconstruction_of_Skull_Defect_in_Langerhans_Cell_Histiocytosis L2 - https://doi.org/10.1097/SCS.0000000000006663 DB - PRIME DP - Unbound Medicine ER -
Try the Free App:
Prime PubMed app for iOS iPhone iPad
Prime PubMed app for Android
Prime PubMed is provided
free to individuals by:
Unbound Medicine.