Enxertos ósseos autógeno em cranioplastia

A review of the osteoplastic reconstruction of cranioplasty has been presented. The repair of skull defects usin free osteoperiosteal grafts from the outer table of the same part of skull on the others side is described.

A Case of Calvarial Tuberculosis in an Elderly Male Patient

Tuberculosis (TB) is still endemic in developing countries like Pakistan. Tuberculosis affecting bones account for 1% of all TB infections. Calvarial tuberculosis, a rare manifestation of extra-pulmonary TB, accounts for 0.2%-1.3% of all cases of skeletal TB. Even in developing countries where TB is endemic, cases with this type of TB are not commonly seen. The most commonly involved sites are the frontal and parietal bones, with destruction of both the inner and outer table. Proper diagnosis and timely management help in improving prognosis. Here we describe the case of a 70-year-old male patient with pulmonary and extrapulmonary (calvarial) tuberculosis. The diagnosis was established on histopathological examination with demonstration of Acid-Fast Bacilli (AFB) and typical features seen on computed tomography (CT) scan.

Excavation and Conservation Recommendations in Handling Human Skeletal Remains: Case Studies from Desert Oases, Cave Shelters, and Permafrost in China and Mongolia

The systematic excavation, long term storage, inventory, and analysis of complete human skeletal remains is a new concept in East Asia. This study examined four problematic cases where there was a demonstrated need for the implementation of conservation techniques. The first case included several naturally mummified skulls from Xinjiang, Province, China. Salt crystals were found to be solidifying on the outer table. The second case involved four naturally mummified cave burials from southwestern Mongolia. Once removed from the dry environment, they began to decompose again. The two last cases were permafrost burials in northern Mongolia. The skeletons were wrapped and stored in a manner which encouraged mold growth. This study will give recommendations for thorough archaeological recovery, cleaning, packaging for transport, reconstruction, and long-term storage of human skeletal remains.

Outer Table Frontal Bone Fracture: When Need Surgical Intervention?

Frontal bone fracture is a common facial bone fracture which commonly involved the outer table part. Most of the time outer table fracture is treated conservatively. However, when there is involvement of orbital wall fracture, as well as entrapment of extraocular muscle, surgical intervention via open reduction and internal fixation is needed. We described a case of outer table frontal bone fracture with left orbital roof fracture complicated with superior rectus muscle entrapment which was successfully treated via open reduction and internal fixation.International Journal of Human and Health Sciences Vol. 02 No. 03 July’18. Page : 167-169

Development of parietal bone surrogates for parietal graft lift training

Currently the surgical training of parietal bone graft techniques is performed on patients or specimens. Commercially available bone models do not deliver realistic haptic feedback. Thus customized parietal skull surrogates were developed for surgical training purposes. Two human parietal bones were used as reference. Based on the measurement of insertion forces of drilling, milling and saw procedures suitable material compositions for molding cortical and cancellous calvarial layers were found. Artificial skull caps were manufactured and tested. Additionally microtomograpy images of human and artificial parietal bones were performed to analyze outer table and diploe thicknesses. Significant differences between human and artificial skulls were not detected with the mechanical procedures tested. Highly significant differences were found for the diploe thickness values. In conclusion, an artificial bone has been created, mimicking the properties of human parietal bone thus being suitable for tabula externa graft lift training.