Skull Bone Defects Reconstruction with Custom-Made Titanium Graft shaped with Electron Beam Melting Technology: Preliminary Experience in a Series of Ten Patients.
Acta Neurochir Suppl
; 124: 137-141, 2017.
Article
em En
| MEDLINE
| ID: mdl-28120065
ABSTRACT
BACKGROUND:
Cranioplasty represents a challenge in neurosurgery. Its goal is not only plastic reconstruction of the skull but also to restore and preserve cranial function, to improve cerebral hemodynamics, and to provide mechanical protection of the neural structures. The ideal material for the reconstructive procedures and the surgical timing are still controversial. Many alloplastic materials are available for performing cranioplasty and among these, titanium still represents a widely proven and accepted choice.METHODS:
The aim of our study was to present our preliminary experience with a "custom-made" cranioplasty, using electron beam melting (EBM) technology, in a series of ten patients. EBM is a new sintering method for shaping titanium powder directly in three-dimensional (3D) implants.FINDINGS:
To the best of our knowledge this is the first report of a skull reconstruction performed by this technique. In a 1-year follow-up no postoperative complications have been observed and good clinical and esthetic outcomes were achieved.CONCLUSION:
Costs higher than those for other types of titanium mesh, a longer production process, and the greater expertise needed for this technique are compensated by the achievement of most complex skull reconstructions with a shorter operative time.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Crânio
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Titânio
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Procedimentos Neurocirúrgicos
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Implantação de Prótese
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Procedimentos de Cirurgia Plástica
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Craniectomia Descompressiva
Tipo de estudo:
Observational_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Acta Neurochir Suppl
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Itália