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Hydroxyapatite Cement in Temporal Bone Surgery: A 10 Year Experience
Author(s) -
Kveton John F.,
Coelho Daniel H.
Publication year - 2004
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/00005537-200401000-00005
Subject(s) - medicine , temporal bone , cerebrospinal fluid leak , skull , biomaterial , leak , surgery , cerebrospinal fluid , complication , retrospective cohort study , bone cement , dentistry , biomedical engineering , cement , pathology , materials science , environmental engineering , engineering , metallurgy
Objectives To describe the indications for successful use of hydroxyapatite cement (HAC) in temporal bone surgery. Study Design Retrospective case review. Methods One hundred nine temporal bone defects related to surgical approaches to the skull base, infection, neoplasms, or congenital defect in 102 adults and children were corrected using HAC over a 10‐year period. The results and complications were obtained through retrospective chart review. Results Ninety‐seven percent of temporal bone defects were successfully repaired using HAC, and the reconstruction remained stable over the course of this study. There was one case of postoperative cerebrospinal fluid leak. Wound infection occurred in three patients, which required reoperation and removal of the biomaterial. Conclusions HAC is a biomaterial that should be used as the primary method to reconstruct temporal bone defects. Proper use of this biomaterial results in restoration of the integrity of the temporal bone and elimination of cerebrospinal fluid leak as a postoperative complication.