Low-Cost 3-D-Printer–Assisted Personalized Cranioplasty Treatment: A Case Series of 14 Consecutive Patients
The current study used polylactic acid molds [developed locally using three-dimensional printers and our software] and polymethyl methacrylate (PMMA) to perform cranioplasty of bone defects in technically demanding areas of the skull while ensuring ideal cosmetic results and functional recovery. The...
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Veröffentlicht in: | World neurosurgery 2023-07, Vol.175, p.e1197-e1209 |
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description | The current study used polylactic acid molds [developed locally using three-dimensional printers and our software] and polymethyl methacrylate (PMMA) to perform cranioplasty of bone defects in technically demanding areas of the skull while ensuring ideal cosmetic results and functional recovery. The overall aim was to identify the ideal method for standard cranioplasty procedures
Polylactic acid duplicates of the skull defects were created for eligible patients, after which a two-part negative mold composed of plaster and silicone was used to form artificial bone with PMMA. Thereafter, cranioplasty was performed and the treatment success was assessed by evaluating the percentage of similarity objectively and the body image scale subjectively.
No surgical complications were seen to occur in the 14 patients included in the current study. Furthermore, the subjective and objective evaluation revealed a significant improvement in outcomes (p < 0.05). No postoperative complications were observed over a follow-up period of 6 months, except in 1 patient who exhibited late infection.
Cranioplasty operations were performed at an economical price of approximately US$50 dollars, suggesting that this method can be applied widely. Furthermore, preoperative preparation of the PMMA models can help reduce the duration of anesthesia and surgery which, in turn, will minimize the risk of surgical complications. Based on current knowledge in the field, we believe that this method represents the ideal technique. |
doi_str_mv | 10.1016/j.wneu.2023.04.098 |
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Polylactic acid duplicates of the skull defects were created for eligible patients, after which a two-part negative mold composed of plaster and silicone was used to form artificial bone with PMMA. Thereafter, cranioplasty was performed and the treatment success was assessed by evaluating the percentage of similarity objectively and the body image scale subjectively.
No surgical complications were seen to occur in the 14 patients included in the current study. Furthermore, the subjective and objective evaluation revealed a significant improvement in outcomes (p < 0.05). No postoperative complications were observed over a follow-up period of 6 months, except in 1 patient who exhibited late infection.
Cranioplasty operations were performed at an economical price of approximately US$50 dollars, suggesting that this method can be applied widely. Furthermore, preoperative preparation of the PMMA models can help reduce the duration of anesthesia and surgery which, in turn, will minimize the risk of surgical complications. Based on current knowledge in the field, we believe that this method represents the ideal technique.</description><identifier>ISSN: 1878-8750</identifier><identifier>ISSN: 1878-8769</identifier><identifier>EISSN: 1878-8769</identifier><identifier>DOI: 10.1016/j.wneu.2023.04.098</identifier><identifier>PMID: 37121505</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>3d-printer ; Case series ; Cranioplasty ; Humans ; Low-cost ; New approach ; Plastic Surgery Procedures ; Polymethyl Methacrylate - therapeutic use ; Postoperative Complications - surgery ; Prostheses and Implants ; Skull - surgery ; Treatment Outcome</subject><ispartof>World neurosurgery, 2023-07, Vol.175, p.e1197-e1209</ispartof><rights>2023 Elsevier Inc.</rights><rights>Copyright © 2023 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-ec74b5cb9ac391984c011f7988d4097f60472a4155a12d7d90e6b7ab9114f7433</citedby><cites>FETCH-LOGICAL-c356t-ec74b5cb9ac391984c011f7988d4097f60472a4155a12d7d90e6b7ab9114f7433</cites><orcidid>0000-0003-2734-4252 ; 0000-0002-4128-5845 ; 0000-0002-8780-5914</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S187887502300582X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37121505$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kaya, İsmail</creatorcontrib><creatorcontrib>Yakar, Hüseyin</creatorcontrib><creatorcontrib>Kesen, Enes</creatorcontrib><title>Low-Cost 3-D-Printer–Assisted Personalized Cranioplasty Treatment: A Case Series of 14 Consecutive Patients</title><title>World neurosurgery</title><addtitle>World Neurosurg</addtitle><description>The current study used polylactic acid molds [developed locally using three-dimensional printers and our software] and polymethyl methacrylate (PMMA) to perform cranioplasty of bone defects in technically demanding areas of the skull while ensuring ideal cosmetic results and functional recovery. The overall aim was to identify the ideal method for standard cranioplasty procedures
Polylactic acid duplicates of the skull defects were created for eligible patients, after which a two-part negative mold composed of plaster and silicone was used to form artificial bone with PMMA. Thereafter, cranioplasty was performed and the treatment success was assessed by evaluating the percentage of similarity objectively and the body image scale subjectively.
No surgical complications were seen to occur in the 14 patients included in the current study. Furthermore, the subjective and objective evaluation revealed a significant improvement in outcomes (p < 0.05). No postoperative complications were observed over a follow-up period of 6 months, except in 1 patient who exhibited late infection.
Cranioplasty operations were performed at an economical price of approximately US$50 dollars, suggesting that this method can be applied widely. Furthermore, preoperative preparation of the PMMA models can help reduce the duration of anesthesia and surgery which, in turn, will minimize the risk of surgical complications. Based on current knowledge in the field, we believe that this method represents the ideal technique.</description><subject>3d-printer</subject><subject>Case series</subject><subject>Cranioplasty</subject><subject>Humans</subject><subject>Low-cost</subject><subject>New approach</subject><subject>Plastic Surgery Procedures</subject><subject>Polymethyl Methacrylate - therapeutic use</subject><subject>Postoperative Complications - surgery</subject><subject>Prostheses and Implants</subject><subject>Skull - surgery</subject><subject>Treatment Outcome</subject><issn>1878-8750</issn><issn>1878-8769</issn><issn>1878-8769</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM9q3DAQh0VpaEKaF-ih6NiLHcmWLan0srh_UljoQtKzkOUxaLGtrUZOSE99h75hn6RaNs2xc5kZ-OYH8xHyhrOSM95e78uHBdayYlVdMlEyrV6QC66kKpRs9cvnuWHn5Apxz3LVXChZvyLnteQVb1hzQeZteCi6gInWxcdiF_2SIP759XuD6DHBQHcQMSx28j_z0kW7-HCYLKZHehfBphmW9J5uaGcR6C1ED0jDSLmgXVgQ3Jr8PdCdTT6D-JqcjXZCuHrql-T750933U2x_fbla7fZFq5u2lSAk6JvXK-tqzXXSjjG-Si1UoNgWo4tE7KygjeN5dUgB82g7aXtNedilKKuL8m7U-4hhh8rYDKzRwfTZBcIK5pKMVVxlXVktDqhLgbECKM5RD_b-Gg4M0fTZm-Ops3RtGHCZNP56O1T_trPMDyf_POagQ8nAPKX9x6iQZcNOBh8BJfMEPz_8v8CTfyPag</recordid><startdate>202307</startdate><enddate>202307</enddate><creator>Kaya, İsmail</creator><creator>Yakar, Hüseyin</creator><creator>Kesen, Enes</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2734-4252</orcidid><orcidid>https://orcid.org/0000-0002-4128-5845</orcidid><orcidid>https://orcid.org/0000-0002-8780-5914</orcidid></search><sort><creationdate>202307</creationdate><title>Low-Cost 3-D-Printer–Assisted Personalized Cranioplasty Treatment: A Case Series of 14 Consecutive Patients</title><author>Kaya, İsmail ; Yakar, Hüseyin ; Kesen, Enes</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-ec74b5cb9ac391984c011f7988d4097f60472a4155a12d7d90e6b7ab9114f7433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>3d-printer</topic><topic>Case series</topic><topic>Cranioplasty</topic><topic>Humans</topic><topic>Low-cost</topic><topic>New approach</topic><topic>Plastic Surgery Procedures</topic><topic>Polymethyl Methacrylate - therapeutic use</topic><topic>Postoperative Complications - surgery</topic><topic>Prostheses and Implants</topic><topic>Skull - surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kaya, İsmail</creatorcontrib><creatorcontrib>Yakar, Hüseyin</creatorcontrib><creatorcontrib>Kesen, Enes</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>World neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kaya, İsmail</au><au>Yakar, Hüseyin</au><au>Kesen, Enes</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Low-Cost 3-D-Printer–Assisted Personalized Cranioplasty Treatment: A Case Series of 14 Consecutive Patients</atitle><jtitle>World neurosurgery</jtitle><addtitle>World Neurosurg</addtitle><date>2023-07</date><risdate>2023</risdate><volume>175</volume><spage>e1197</spage><epage>e1209</epage><pages>e1197-e1209</pages><issn>1878-8750</issn><issn>1878-8769</issn><eissn>1878-8769</eissn><abstract>The current study used polylactic acid molds [developed locally using three-dimensional printers and our software] and polymethyl methacrylate (PMMA) to perform cranioplasty of bone defects in technically demanding areas of the skull while ensuring ideal cosmetic results and functional recovery. The overall aim was to identify the ideal method for standard cranioplasty procedures
Polylactic acid duplicates of the skull defects were created for eligible patients, after which a two-part negative mold composed of plaster and silicone was used to form artificial bone with PMMA. Thereafter, cranioplasty was performed and the treatment success was assessed by evaluating the percentage of similarity objectively and the body image scale subjectively.
No surgical complications were seen to occur in the 14 patients included in the current study. Furthermore, the subjective and objective evaluation revealed a significant improvement in outcomes (p < 0.05). No postoperative complications were observed over a follow-up period of 6 months, except in 1 patient who exhibited late infection.
Cranioplasty operations were performed at an economical price of approximately US$50 dollars, suggesting that this method can be applied widely. Furthermore, preoperative preparation of the PMMA models can help reduce the duration of anesthesia and surgery which, in turn, will minimize the risk of surgical complications. Based on current knowledge in the field, we believe that this method represents the ideal technique.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>37121505</pmid><doi>10.1016/j.wneu.2023.04.098</doi><orcidid>https://orcid.org/0000-0003-2734-4252</orcidid><orcidid>https://orcid.org/0000-0002-4128-5845</orcidid><orcidid>https://orcid.org/0000-0002-8780-5914</orcidid></addata></record> |
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subjects | 3d-printer Case series Cranioplasty Humans Low-cost New approach Plastic Surgery Procedures Polymethyl Methacrylate - therapeutic use Postoperative Complications - surgery Prostheses and Implants Skull - surgery Treatment Outcome |
title | Low-Cost 3-D-Printer–Assisted Personalized Cranioplasty Treatment: A Case Series of 14 Consecutive Patients |
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