INTRODUCTION: @entity129 following the removal of @entity5 involved bone require repair and reconstruction for brain protection and cosmesis. A variety of autologous bone substrates and synthetic materials can be employed, alone or in combination. In this article, we describe the use of dual thin and thick @entity702 mesh, connected together using plate hardware, to repair a right frontotemporal sphenoidal bone defect following resection of a @entity4916 @entity1653 . METHODS: Reconstruction of the pterion was done with a dual mesh cranioplasty. After replacement of the native orbitozygomatic and frontotemporal bone pieces, a piece of thinner mesh was molded to the pterional defect connecting the two bone pieces and re-creating the concave shape of the pterion below the superior temporal line. The circular area of the @entity154 overlying the frontal and temporal lobes was supplemented by cutting and molding an additional piece of thicker mesh which was secured to the thinner mesh with burr hole cover sectors using rescue screws. RESULTS: A 30-year-old @entity1 presented with painless proptosis and was found to have a @entity4916 right @entity1653 . The @entity1 underwent a frontotemporal orbitozygomatic craniotomy for @entity5 resection and extensive @entity2721 . Repair and reconstruction of the @entity129 in the region were accomplished at the time of open operation using two thicknesses of mesh connected one to another with @entity702 plate pieces and rescue screws. The @entity1 underwent gross total resection of the @entity1653 and near total resection of the soft tissue and bony components (Simpson  Grade II). The external cosmetic results following the orbital-cranial reconstruction with the dual mesh technique was deemed "very good" by the surgeon and @entity1 . Postoperative CT imaging demonstrated symmetric re-approximation of the shape of the pterion as compared to the opposite side. CONCLUSIONS: We present a method for connecting two @entity702 mesh sheets with available hardware to improve the strength in compression while maintaining the ability to mold thinner sheets as necessary for the best cosmetic results. This method is an option for coverage of @entity154 in the region of the pterion for young, physically active @entity1 providing them with additional mesh cranioplasty strength.

A Method for Combining Thin and Thick Malleable XXXX Mesh in the Repair of Cranial Defects.

@entity129 :: ('MESH:D003389', 'Disease') :: ['Cranial defects', 'cranial defect'] @entity4916 :: ('MESH:D015576', 'Disease') :: ['hyperostosing'] @entity154 :: ('MESH:D000013', 'Disease') :: ['bony defect', 'bony defects'] @entity1 :: ('9606', 'Species') :: ['woman', 'patients', 'patient'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor'] @entity1653 :: ('MESH:D008579', 'Disease') :: ['sphenoid wing meningioma', 'meningioma'] @entity2721 :: ('MESH:D018213', 'Disease') :: ['bony osteotomy'] @entity702 :: ('MESH:D014025', 'Chemical') :: ['titanium']
@entity702 :: (MESH:D014025,Chemical) :: ['Titanium']
