Evidence map›Paper›PMID 35999885›Full record

ArticlePlastic and reconstructive surgery. Global open2022

Current Concepts in Cranial Reconstruction: Review of Alloplastic Materials.

Darin T Johnston, Steven J Lohmeier, Hannah C Langdell, Bryan J Pyfer, Jordan Komisarow, David B Powers, Detlev Erdmann

Open access · goldAbstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.2field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Darin T JohnstonDivision of Plastic, Maxillofacial and Oral Surgery, Duke University Hospital, Durham, N.C.
Steven J LohmeierDivision of Plastic, Maxillofacial and Oral Surgery, Duke University Hospital, Durham, N.C.
Hannah C LangdellDivision of Plastic, Maxillofacial and Oral Surgery, Duke University Hospital, Durham, N.C.
Bryan J PyferDivision of Plastic, Maxillofacial and Oral Surgery, Duke University Hospital, Durham, N.C.
Jordan KomisarowDepartment of Neurosurgery, Duke University Hospital, Durham, N.C.
David B PowersDivision of Plastic, Maxillofacial and Oral Surgery, Duke University Hospital, Durham, N.C.
Detlev ErdmannDivision of Plastic, Maxillofacial and Oral Surgery, Duke University Hospital, Durham, N.C.
Duke University Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cranioplasty for acquired cranial defects can be complex and challenging. Benefits include improved cosmesis, protection of intracranial structures, and restoration of neurocognitive function. These defects can be reconstructed with preserved craniectomy bone flaps, split autografts, or alloplastic materials. When alloplastic cranioplasty is planned, the material should be carefully selected. There is confusion on which material should be used in certain scenarios, particularly in composite defects. Methods: The PubMed database was used to conduct a nonsystematic review of literature related to these materials and the following factors: time required in preoperative planning and fabrication, intraoperative time, feasibility of intraoperative modification, fixation method (direct or indirect), implant cost, overall complication rate, and surgical revision rates. Results: Surgical revision rates for alloplastic materials range from 10% to 23%. Retention of titanium mesh at 4 years is 85% in composite reconstruction with free fasciocutaneous and free myocutaneous flaps. In composite reconstruction with locoregional and free muscle flaps, the retention of titanium mesh at 4 years is 47%. The retention of nontitanium and nonpreserved autogenous reconstruction is 72% and 82%, respectively. Conclusions: Alloplastic materials should be considered for reconstruction of large (>100 cm

Identifiers

PMID35999885
PMCPMC9390815
OpenAlexW4292377178

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.