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Child's Nervous System
Published in: Child's Nervous System 2/2013

01-02-2013 | Technical Note

Primary Ewing's sarcoma of the skull: radical resection and immediate cranioplasty after chemotherapy. A technical note

Authors: Maria Castle, Mónica Rivero, Javier Marquez

Published in: Child's Nervous System | Issue 2/2013

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Abstract

Purpose

The current standard treatment of Ewing's sarcoma is chemotherapy followed by surgery, making an immediate cranial reconstruction in a one-step surgical procedure possible.

Methods

We describe the technique used to repair a cranial defect after the resection of a primary Ewing's sarcoma of the skull in a one-step surgical procedure.

Results

Bone repair with a custom-made cranioplasty immediately after resection of a primary Ewing's sarcoma of the skull avoids deformities and late complications associated with reconstructive surgery after radiotherapy and not interfere with radiotherapy and neither with follow-up.

Conclusion

A one-step surgical procedure after chemotherapy for primary Ewing's sarcoma of the skull could be safer, less aggressive and more radical; avoiding deformities and late complications.
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Brevi BC, Magri AS, Toma L, Sesenna E (2010) Cranioplasty for repair of a large bone defect with autologous and homologous bone in children. J Pediatr Surg 45(4):E17–E20PubMedCrossRef
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Chim H, Schantz JT (2005) New frontiers in calvarial reconstruction: integrating computer-assisted design and tissue engineering in cranioplasty. Plast Reconstr Surg 116(6):1726–1741PubMedCrossRef
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Della Puppa A, Mottaran R, Scienza R (2010) Image-guided cranial osteoma resection and bioceramic porous hydroxyapatite custom-made reconstruction in a one-step surgical procedure. Technical notes and illustrative case. Acta Neurochir Wien 152(1):155–159PubMedCrossRef
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Metadata
Title
Primary Ewing's sarcoma of the skull: radical resection and immediate cranioplasty after chemotherapy. A technical note
Authors
Maria Castle
Mónica Rivero
Javier Marquez
Publication date
01-02-2013
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 2/2013
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-012-1974-7

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