Silicone rubber mould cast polyethylmethacrylate-hydroxyapatite plate used for repairing a large skull defect

Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery
Horatiu RotaruGrigore Baciut

Abstract

Reconstruction of the cranial vault is performed for various reasons and precise repair of the defect is important. A modified method of cranioplasty is presented using three-dimensional (3D) models and polyethylmethacrylate mixed with hydroxyapatite, cast in a silicone rubber mould. A large custom made cranial implant was produced using data acquired from 3D computer tomography, rapid prototyping and cast in a silicone rubber mould. This plate was then applied to a 53 year-old man who had undergone a decompressive fronto-parieto-temporo-occipital craniotomy. The bone flap had been lost due to infection. The cranioplasty was performed at 1 year after the initial operation. The cranial plate fitted precisely into the defect and needed no correction at the time of surgery. The stability of the reconstruction plate was increased by the presence of thin margins allowed by silicone rubber elasticity. No complications occurred and the final functional and aesthetic results were good. The use of 3D imaging and rapid prototyping allow precise repair of large skull defects, with good aesthetic and functional results. At the same time, silicone rubber moulds permit the production of very thin details needed not only for cosmetic reasons ...Continue Reading

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Citations

Mar 7, 2012·Neurosurgical Review·Serge MarbacherJürgen Beck
Dec 31, 2011·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Robert ChrzanMarek Pyrich
Dec 19, 2013·Journal of Neurosciences in Rural Practice·G M BotB B Shehu
Sep 23, 2016·Iranian Red Crescent Medical Journal·Vaner KoksalRecep Bedir
Jul 9, 2011·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Frederik Zefanya NotodihardjoKenji Kusumoto
Dec 6, 2008·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Danilo IbrahimDaniela Nascimento Silva
Jun 27, 2008·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Daniela Nascimento SilvaAilton Santa-Bárbara
Mar 18, 2008·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Arin K GreeneJoseph G McCarthy
Jul 3, 2007·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Jean-Rodolphe VignesDominique Liguoro
Nov 2, 2011·International Journal of Dermatology·Marco Viscomi
Feb 2, 2008·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Jules PoukensPeter Kessler
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Nov 28, 2019·Contemporary Clinical Dentistry·Yamini Nandini, Swapna Bettanapalya Venkatesh
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Feb 15, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Bikramjit BasuAniruddha Tekkatte Jagannatha

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