Copyright
©The Author(s) 2023.
World J Clin Cases. May 6, 2023; 11(13): 2903-2915
Published online May 6, 2023. doi: 10.12998/wjcc.v11.i13.2903
Published online May 6, 2023. doi: 10.12998/wjcc.v11.i13.2903
Relationship | Classification | Etiology |
Immediate factors | Operation | Lumbar anesthesia, puncture[8] |
Analgesia in labor[8] | ||
Chiropractic[82] | ||
Negative pressure suction | ||
Trauma | Skull fracture[83] | |
Spinal burst fracture[84] | ||
Subdural hematoma cleared[85] | ||
Surgery | Discectomy/artificial disc replacement[86-88] | |
laminectomy[86-88] | ||
Late-presenting dural tear[89] | ||
minimally invasive surgery[90] | ||
Secondary intervention after surgical intervention[9,10,14,92] | ||
Intradural mass resection/cyst removal[9,14] | ||
Indirect factors | Connective tissue disorders | Marfan syndrome[91] |
Ehlers-Danlos syndrome type II[92] | ||
Miscellaneous | Dural ossification[86] | |
Spontaneous fistula | ||
The use of bone morphoprotein 2[93] | ||
Older age[1,10,14] | ||
Diabetes[1] | ||
Obesity (Body mass index ≥ 30)[87] | ||
Corticosteroid use[87] | ||
Ankylosing spondylitis[87] |
Ref. | Year | Restorative materials | Object of application | Evaluation of clinical / laboratory effect |
Ramot et al[94] | 2020 | Novel synthetic and fibrous Dural graft: Poly (L-lactic-cocaprolactone acid) and poly (D-lactic-co-caprolactone acid) | Rabbits | 12 mo after operation, there was no animal death, and the new dura mater, dura mater injury and upper bone healing were formed at the implantation site. The advantage for this material is favorable local tolerability and biodegradability |
Schmalz et al[53] | 2018 | Cerafix dura substitute: Spun poly (lactic-coglycolic acid) and poly-p-dioxanone | Human: Four patients after resection of brain tumor | In all patients wound healing proceeded without complication. There was no imaging evidence of persistent fluid collection to suggest cerebrospinal fluid leakage or pseudomeningocele formation, nor was there evidence of meningeal enhancement to suggest the development of subclinical chemical meningitis |
Li et al[60] | 2022 | bioactive patch composed of alginate and polyacrylamide hydrogel matrix cross-linked by calcium ions, and chitosan adhesive | In vitro experiment and in vivo experiment in rabbit model | The bioactive patch have the good properties of withstanding high pressure, promoting defect closure, exerting the effects of anti-inflammatory, analgesic, adhesion prevention and inhibiting postoperative infection |
Kinaci et al[58] | 2021 | Liqoseal, a dural sealant patch comprising a watertight polyester-urethane layer and an adhesive layer consisting of poly (DL-lactide-co-ε-caprolactone) copolymer and multi-armed N-hydroxylsuccinimide functionalized polyethylene glycol | Computer-assisted models, fresh porcine dura and In vitro experiment | The mean burst pressure of Liqoseal in the spinal model (233 ± 81 mmHg) was higher than that of Tachosil (123 ± 63 mmHg) and Tisseel (23 ± 16 mmHg). Compared with Adherus, Duraseal, Tachosil, and Tisseel, Liqoseal was able to achieve a strong watertight seal on dura defects in the in vitro model |
Yamaguchi et al[56] | 2019 | Durawave: Polyglycolic acid felt | Human: 36 cases of tumor resection via transpetrosal approach | The cerebrospinal fluid leakage rate of patients treated with polyglycolic acid felt was lower than that of autogenous fascia fixation, and the time of intraoperative dural reconstruction was significantly shortened. Using polyglycolic acid felt to reconstruct dura mater simplifies the operation and may prevent cerebrospinal fluid-related complications after transpetrosal approach |
Huang et al[61] | 2022 | Photo-Crosslinked Hyaluronic Acid/Car-b oxymethyl Cellulose Composite Hydrogel | In vitro experiment and in vivo experiment in rabbit model | It has biocompatibility, biodegradability and mechanical strength. By drastically reducing attachment and penetration of adhesion-forming fibroblasts in vitro, HC hydrogel can be used as an anti-adhesion barrier to prevent postoperative adhesion |
Zhu et al[95] | 2021 | Tetra-PEG hydrogel sealants | In vitro experiment and in vivo experiment in rabbit model | It has the advantages of simple operation, high safety, fast solidification time, easy injection, good mechanical strength and strong tissue adhesion. In the liquid environment, the tetra-PEG hydrogel sealants can also instantly adhere to the irregular tissue surface |
Chuan et al[57] | 2020 | Stereocomplex nanofiber membranes based on enantiomeric poly (lactic acid) and poly (D-lactic acid)-grafted tetracalcium phosphate | In vitro experiment | It has heat resistance, stretching similar to human dura mater, non-toxic to cells, and neuron compatibility |
Yu et al[62] | 2015 | Two layers of novel electrospun membranes, dermal fibroblasts and mussel adhesive protein for repairing spinal dural defect. Inner layer: Lactide-co-glycolide other layer: Chitosan-coated electrospun nonwoven poly(lactide-co-glycolide) membrane | Goats | Seamless and quick sealing of the defect area with the implants was realized by mussel adhesive protein. Effective cerebrospinal fluid containment and anti-adhesion of the regenerated tissue to the surrounding tissue could be achieved in the current animal model |
Masuda et al[96] | 2016 | Suture or nonpenetrating titanium clips, followed by reinforcement with a polyglycolic acid mesh and fibrin glue intraoperatively | 75 patients (34 males and 41 females; age range, 16e80 years; mean age, 57.1 years) | Only one patient out of 75 (1.3%) required reoperation for dural repair |
Terasaka et al[64] | 2017 | Fibrin glue and polyglycolic acid felt (GM111) | Sixty patients were enrolled. The craniotomy site was supratentorial in 77.2%, infratentorial in 12.3% and sellar in 10.5% | Cerebrospinal fluid leakage and subcutaneous cerebrospinal fluid retention throughout the postoperative period were found in four patients. Adverse events for which a causal relationship with GM111 could not be ruled out occurred in 8.8% of the patients. There were no instances of postoperative infection due to GM111 |
Liao et al[97] | 2021 | Triple-layered composite: Poly (L-lactic acid), chitosan, gelatin, and acellular small intestinal submucosa | In vitro experiment | Satisfactory multifunction of leakage blockade, adhesion prevention, antibacterial property, and dura reconstruction potential |
Deng et al[66] | 2017 | Absorbable materials Poly (L-lactic acid) and gelatin | In vitro experiment | More biomimetic to native extracellular matrix than collagen substitute did, together with better cytocompatibility, tissue ingrowth, and neoangiogenesis |
- Citation: Dong RP, Zhang Q, Yang LL, Cheng XL, Zhao JW. Clinical management of dural defects: A review. World J Clin Cases 2023; 11(13): 2903-2915
- URL: https://www.wjgnet.com/2307-8960/full/v11/i13/2903.htm
- DOI: https://dx.doi.org/10.12998/wjcc.v11.i13.2903