PubMed · 308200
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C Smith. Instrumentation problems.. https://pubmed.ncbi.nlm.nih.gov/308200/
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Two cases of an unusual complication of synthetic duraplasty are reported. In both cases, patients had been operated on because of meningiomas and dural defects had been repaired with Silastic. Some years later they developed severe graft-related haematomas and were ultimately successfully treated only by the removal of the synthetic grafts. On the basis of this and other clinical experiences, biological dural grafts seem to be preferable to synthetic ones.
A technique for skull base dural defect repair is presented, using two layers of periosteum and biological (Tisseel glue), one on either side of the defect. The method is reliable and relatively simple, and was used to repair a recurrent skull base encephalocoele with great success. The method has application in the reconstruction of any dural defect, whether congenital, traumatic or surgical.