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Oral and Maxillofacial Surgery

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Open Access 01-03-2018 | Original Article

Considerations in computer-aided design for inlay cranioplasty: technical note

Authors: Erik Nout, Maurice Y. Mommaerts

Published in: Oral and Maxillofacial Surgery | Issue 1/2018

Abstract

Context

Cranioplasty is a frequently performed procedure that uses a variety of reconstruction materials and techniques. In this technical note, we present refinements of computer-aided design–computer-aided manufacturing inlay cranioplasty.

Objective, design, and setting

In an attempt to decrease complications related to polyether-ether-ketone (PEEK) cranioplasty, we gradually made changes to implant design and cranioplasty techniques. These changes include under-contouring of the implant and the use of segmented plates for large defects, microplate fixation for small temporal defects, temporal shell implants to reconstruct the temporalis muscle, and perforations to facilitate the drainage of blood and cerebrospinal fluid and serve as fixation points.

Results

From June 2016 to June 2017, 18 patients underwent cranioplasty, and a total of 31 PEEK and titanium implants were inserted. All implants were successful.

Conclusions

These changes to implant design and cranioplasty techniques facilitate the insertion and fixation of patient-specific cranial implants and improve esthetic outcomes.

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Title: Considerations in computer-aided design for inlay cranioplasty: technical note
Authors: Erik Nout
Maurice Y. Mommaerts
Publication date: 01-03-2018
Publisher: Springer Berlin Heidelberg
Published in: Oral and Maxillofacial Surgery / Issue 1/2018
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI: https://doi.org/10.1007/s10006-017-0668-4

At a glance: The STEP trials

Springer Medicine

Considerations in computer-aided design for inlay cranioplasty: technical note

Abstract

Context

Objective, design, and setting

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Context

Objective, design, and setting

Results

Conclusions

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