Temporal Hollowing Augmentation with Titanium Mesh after Autologous Cranioplasty in Temporal Muscle Resected Case: A Case Report

Tae-Yong Park; Ji-Hee Kim; Won Seok Chang; Jin Woo Chang; Yong Gou Park; Hyun Ho Jung

doi:10.13004/kjnt.2013.9.2.154

Journal List > Korean J Neurotrauma > v.9(2) > 1058920

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Park, Kim, Chang, Chang, Park, and Jung: Temporal Hollowing Augmentation with Titanium Mesh after Autologous Cranioplasty in Temporal Muscle Resected Case: A Case Report

Case Report

Korean J Nutr 2013;9(2):154-156.

Published online: 20 October 2013

DOI: https://doi.org/10.13004/kjnt.2013.9.2.154

Temporal Hollowing Augmentation with Titanium Mesh after Autologous Cranioplasty in Temporal Muscle Resected Case: A Case Report

Tae-Yong Park, MD, Ji-Hee Kim, MD, Won Seok Chang, MD, Jin Woo Chang, MD, Yong Gou Park, MD, Hyun Ho Jung, MD

Division of Stereotactic and Functional Neurosurgery, Brain Research Institute, Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea

Address for correspondence: Hyun Ho Jung, MD Division of Stereotactic and Functional Neurosurgery, Brain Research Institute, Department of Neurosurgery, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea Tel: +82-2-2228-2150, Fax: +82-2-393-9979 E-mail: junghh@yuhs.ac

Received 18 August 2013 Revised 21 September 2013 Accepted 21 September 2013

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Temporal fossa hollowing can represent a serious cosmetic concern to patients after post-traumatic surgery, oncological resection, or surgical dissection for obtaining access to the temporal area. Various methods have been described to augment temporal fossa hollowing, such as use of autogenous bone and cartilage implants, high-density polyethylene implants, and dermal fat grafts. We report a case of 22-year-old man with temporal fossa hollowing after post-traumatic surgery, including temporal muscle resection, whose defect was augmented by using titanium mesh even though long after cranioplasty.

Keywords: Temporal fossa hollowing, Augmentation, Titanium mesh

References

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FIGURE 1.

Sequential brain computerized tomography (CT) scan. A: Before the surgery for temporal hollowing, the left temporal area shows a defect compared to the right temporal area, because of previous temporal muscle resection. B: Two months after operation, the scan shows temporal fossa hollowing disappeared by augmentation using titanium mesh. C: Six months after operation, the cosmetic improvement persisted throughout the outpatient follow-up period.

FIGURE 2.

Immediate postoperative skull anteroposterior and lateral X-ray shows temporal fossa augmentation using titanium mesh. The mesh was fastened with screw on frontal and parietal bone and lateral orbital limb, and zygomatic arch.

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