Three-Dimensional Craniofacial Bone Reconstruction With SmartBone on Demand

The Journal of Craniofacial Surgery
Enzo FacciutoG Perale

Abstract

This is a report of a 34-year-old male lacking of bone development in the frontal and orbital part of the skull due to a surgical removal of a right orbital-front osteoma at the age of 5. The integrity of the craniofacial district was important for the young patient also for social acceptance and self-esteem.Based on computed tomography patient images, a skull model was reconstructed, both digitally and on 3-dimensional real model, to best design the needed bone graft. Defect wide extension and surface curvature called for the use of the puzzle technique, where the whole graft is composed by several elements, mechanically slotting into each other. The realization was made possible thanks to the use of a composite xenohybrid bone substitute specifically developed for reconstructive surgery (SmartBone, by Industrie Biomediche Insubri SA). SmartBone technology allowed the realization of custom-made grafts which perfectly joined each other and fitted the bone defect thanks to mechanical strength, also at low thicknesses and wide extensions.The postoperative course was uneventful and computed tomography scans showed new bone formation and complete calvaria continuity already 10 months after surgery, with no signs of inflammation ove...Continue Reading

References

May 14, 1993·Science·R Langer, J P Vacanti
May 29, 2014·Journal of Materials Science. Materials in Medicine·V CampanaG Logroscino
Jul 22, 2016·Journal of Neurological Surgery. Part B, Skull Base·Aanchal KakkarMehar Chand Sharma
Aug 2, 2017·Asian Journal of Neurosurgery·Farid YudoyonoMuhammad Zafrullah Arifin

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