Presentamos el caso de un paciente de 45 años de edad, que tras ser intervenido en dos ocasiones de un meningioma gigante del ala mayor del esfenoides mediante una craneotomía pterional con ampliación órbito-zigomática, sufre un proceso infeccioso en el colgajo óseo que obliga a la retirada del mismo. Se decidió realizar la reparación del defecto craneal mediante el uso combinado de una malla de titanio y cemento de hidroxiapatita (Norian®), sumando así la resistencia del titanio al excelente resultado estético en cuanto a contorno y volumen que se puede lograr con el cemento de hidroxiapatita.
We report the case of a 45 year-old patient who was affected by an infectious disease of the temporal bone, after the surgical treatment of a meningioma in the greater sphenoid wing. This infection healed after the resection of the craniotomy flap. The remaining bone defect was reconstructed using a titanium mesh covered by hydroxyapatite cement (Norian®). The result was excellent due to the strength of the titanium mesh and the volume and contour offered by the hydroxyapatite cement.
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