Heavy metal: Beware

John W. Polley, David E. Kim, Wickii T. Vigniswarin, Richard Berkowitz, Fady Charbel

Research output: Contribution to journalArticle

1 Scopus citations


A 19-year-old Crouzon's syndrome patient with a history of multiple craniofacial procedures presented with severe bilateral temporal and frontal depressions and metal implants protruding through the scalp in multiple locations. Preoperative analysis revealed an extensive cranial defect that had been reconstructed with multiple large metallic mesh implants. The mesh required complete removal with an autograft cranial reconstruction. We present this case to urge that caution and forethought be exercised when contemplating the use of metallic alloplasts for major craniofacial reconstructions.

Original languageEnglish (US)
Pages (from-to)460-464
Number of pages5
JournalJournal of Craniofacial Surgery
Issue number6
StatePublished - Nov 1996


  • Allograft cranial reconstruction
  • Metallic alloplasts

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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    Polley, J. W., Kim, D. E., Vigniswarin, W. T., Berkowitz, R., & Charbel, F. (1996). Heavy metal: Beware. Journal of Craniofacial Surgery, 7(6), 460-464. https://doi.org/10.1097/00001665-199611000-00012