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CC BY 4.0 · J Neurol Surg Rep 2025; 86(01): e8-e13
DOI: 10.1055/a-2508-0868
Case Report

Single-Session Surgical Intervention with Resection of a Primary Cranial Osteosarcoma and Cranioplasty using a 3D-Printed Craniotomy Template and Cranioplasty Molds

Sven Duda
1   Department of Neurosurgery, Hospital of the German Armed Forces, Westerstede, Germany
,
Philipp Ivanyi
2   Department of Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany
,
Mohamed Omar
3   Department of Traumatology and Orthopedic Surgery, Hannover Medical School, Hannover, Germany
,
Christian Hartmann
4   Department of Neuropathology, Hannover Medical School, Hannover, Germany
,
Eugen Musienko
5   Department of Mechanical Engineering, Laboratory for Manufacturing Technology, Helmut Schmidt University/University of the German Armed Forces, Hamburg, Germany
,
Heinrich Wessling
1   Department of Neurosurgery, Hospital of the German Armed Forces, Westerstede, Germany
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Abstract

Although osteosarcomas are the most frequent primary malignant bone tumors, the primary cranial manifestation of this condition is very rare with only a limited number of cases presented in the literature.

We present the case of a 20-year-old male patient who underwent single-session surgical intervention for resection of right frontal osteosarcoma with a tailor-made craniotomy and cranioplasty using virtually designed 3D-printed templates and molds. Subsequently, the patient was treated according to the EURAMOS protocol and received adjuvant systemic chemotherapy.

At 18-month follow-up, the patient was clinically asymptomatic, and both the magnetic resonance imaging scan of the head and the staging computed tomography showed no signs of tumor recurrence or metastases. The case presented shows that the use of 3D-printed molds facilitate a safe preoperative planning of the resection area and a single-session surgery including a custom-made cranioplasty responding to the highest esthetical standards.

Keywords

cranial osteosarcoma - 3D printing - EURAMOS - craniofacial osteosarcoma


Publication History

Received: 19 September 2024

Accepted: 22 November 2024

Article published online:
23 January 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

 

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