Salvage of Post-Cranioplasty Implant Exposure Using Free Tissue Transfer
May 2017
in “
Head & Neck
”
Studysummary This study reported that free tissue transfer for postcranioplasty implant exposure led to a 100% free flap survival rate and salvaged 91% of the implants without removal, suggesting it is a highly effective reconstructive option even for chronic cases. Our plain-language summary of this paper — not a Tressless recommendation.
The study, conducted over a 12-year period from January 2004 to February 2016, involved 11 patients who had unsuccessful locoregional flap surgeries to cover exposed implants after cranioplasty. Various types of free flaps were used, including anterolateral thigh flap, radial forearm flap, and others. The results showed a 100% flap survival rate and a 91% success rate in salvaging the implants without removal. The authors concluded that free tissue transfer is a highly effective method for reconstructing exposed implants following cranioplasty, particularly in cases where chronic exposure has lasted over 3 months.
