Polypropylene–polyester cranial prostheses prepared with CAD/CAM technology. Report of first 15 cases
| Autor: | Piotr Kasprzak, Marek Zawirski, Grzegorz Tomaszewski, Grazyna Wróbel-Wiśniewska |
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| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Polyesters medicine.medical_treatment Dentistry 3d model Computed tomography CAD Polypropylenes Prosthesis Design Prosthesis Prosthesis Implantation Humans Medicine Anesthesia Titanium medicine.diagnostic_test Brain Neoplasms business.industry Skull Intracranial Aneurysm General Medicine Bone prosthesis Surgical Instruments Bone defect Cranioplasty Surgery Treatment Outcome medicine.anatomical_structure Brain Injuries Computer-Aided Design Neurology (clinical) Tomography X-Ray Computed business Bone Plates Craniotomy |
| Zdroj: | Clinical Neurology and Neurosurgery. 113:311-315 |
| ISSN: | 0303-8467 |
| Popis: | Objectives The authors described a new cranioplastic method where polypropylene–polyester knitwear was shaped according to individual patient's skull 3D model. The material was formed in a customized manner and preoperatively adjusted to the patient needs with modern CAD/CAM techniques. Patients and methods The procedure consisted of a CT scan with a simple but unorthodox protocol, 3D modeling of the bone defect and planned prosthesis, finally the preparation of the plate itself. Prostheses were used in the 15 cases of cranial defects. Results Sample cases were shown with preoperative and postoperative CT scans, patient pictures, and 3D models of the prostheses. The size of the defect ranged from 15 to 95cm 2 , and the observation period after the reconstructive operation ranged from 3 to 23 months. The results were very good in all cases of cranioplasties performed after craniectomies of various origins. Conclusion CAD/CAM shaping gave better adjustment to requirements of specific defect than any standard preformed plate. Such method seemed to be a reasonable alternative to other cranioplastic solutions and can be recommended even for cases of large or complicated shape cranioplasties. |
| Databáze: | OpenAIRE |
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