A Novel Approach to Preventing Temporal Hollowing Using Virtual Surgical Planning and Suture Suspension of the Temporalis Muscle.

MedStar author(s):
Citation: Journal of Craniofacial Surgery. 34(3):e331-e333, 2023 May 01.PMID: 36882919Department: MedStar Georgetown University Hospital/MedStar Washington Hospital Center | Plastic Surgery ResidencyForm of publication: Journal ArticleMedline article type(s): Case Reports | Journal ArticleSubject headings: *Dental Implants | *Esthetics, Dental | Humans | Skull/su [Surgery] | Sutures | Temporal Muscle/tr [Transplantation] | Year: 2023Local holdings: Available online from MWHC library: 2001 - present, Available in print through MWHC library:1999-2007ISSN:
  • 1049-2275
Name of journal: The Journal of craniofacial surgeryAbstract: Cranioplasty is a well-described technique used to restore the contour and function of calvarial defects using various alloplastic implants and autologous bone grafts. However, unsatisfactory esthetic outcomes after cranioplasty are frequently reported, specifically postoperative temporal hollowing. Temporal hollowing arises when the temporalis is inadequately resuspended after cranioplasty. Several methods to prevent this complication have been described with variable degrees of esthetic improvement, but no single method has proven superior. Herein the authors present a case report demonstrating a novel approach to resuspending the temporalis that incorporates holes in the custom cranial implant to allow for resuspension of the temporalis through suture fixation to the implant. Copyright © 2023 by Mutaz B. Habal, MD.All authors: Baker SB, Episalla NC, Kirloskar KM, Saikaly KFiscal year: FY2023Digital Object Identifier: Date added to catalog: 06/01/2023
Holdings
Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 36882919 Available 36882919

Available online from MWHC library: 2001 - present, Available in print through MWHC library:1999-2007

Cranioplasty is a well-described technique used to restore the contour and function of calvarial defects using various alloplastic implants and autologous bone grafts. However, unsatisfactory esthetic outcomes after cranioplasty are frequently reported, specifically postoperative temporal hollowing. Temporal hollowing arises when the temporalis is inadequately resuspended after cranioplasty. Several methods to prevent this complication have been described with variable degrees of esthetic improvement, but no single method has proven superior. Herein the authors present a case report demonstrating a novel approach to resuspending the temporalis that incorporates holes in the custom cranial implant to allow for resuspension of the temporalis through suture fixation to the implant. Copyright © 2023 by Mutaz B. Habal, MD.

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