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William Beecher Scoville, M.D.; Robert L. McLaurin, M.D.
JAMA. 1951;147(7):639-640. doi:10.1001/jama.1951.73670240003006a.
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Tantalum mesh is proposed for the plastic repair of the congenital defects of encephalocele, meningocele, and spina bifida. It has been used successfully in abdominal hernias without adverse tissue reaction.1 Stainless steel and silver wire mesh have both been proposed for the repair of post-traumatic cranial defects,2 and Reeves3 in his monograph on cranioplasty gives an excellent discussion of various metals used. No mention has yet been made of any metallic material for the repair of congenital defects.


Case 1.—  T. W., a 9-yr.-old girl, was first admitted to Hartford Hospital in February, 1941, at 2 weeks of age, with a large mid-dorsal meningocele; traditional repair using "fascial shutters" was performed. Postoperative Staphylococcus meningitis developed, but the infant recovered. Mild and progressive neurological sequelae over the ensuing nine years consisted of clubfoot and mild spastic incoordinated gait, with a positive Babinski sign. When she


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