Delayed Minimally Invasive Cranioplasty

Abstract

Minimally invasive cranioplasty is presented. Stereolithography is a new technology applied for the manufacture of custom-made cranial prosthesis that can provide an accurate reproduction of difficult anatomical contours of large cranial defects. The pre-operative development of perfect-fit prostheses permits a significant decrease in the operative time, in the overall costs of surgery, as well as on the rate of complications observed in patients with large cranial defects. At the end, this paper reviews the current concepts of application of engineering into medicine.

Key words

Stereolithography - minimal invasive surgery - cranioplasty

References

• 1 Schmitz H, Tolzdorff T, Honsbrock J. 3D based computer-assisted manufacturing of alloplastic implants for cranial and maxillofacial osteoplastics. In: Lemke H, Rhodes M (eds). Computed Assisted Radiology, 1st ed. Berlin: Springer Verlag 1989: 390-393
• 2 Costantino P D, Friedman C D, Jones K. et al . Experimental hydroxyapatite cement cranioplasty.  Plast Reconstr Surg. 1992;  90 174-185
• 3 Costantino P D, Chaplin J M, Wolpoe M E. et al . Applications of fast-setting hydroxyapatite cement: cranioplasty.  Otolaryngol Head Neck Surg. 2000;  123 409-412
• 4 Dean D, Topham N S, Rimnac C. et al . Osseointegration of preformed polymethylmethacrylate craniofacial prostheses coated with bone marrow-impregnated poly (DL-lactic-co-glycolic acid) foam.  Plast Reconstr Surg. 1999;  104 705-712
• 5 Dujovny M, Aviles A, Anger C. An innovative approach for cranioplasty using hydroxyapatite cement.  Surg Neurol. 1997;  48 294-297
• 6 Dujovny M, Aviles A, Agner C. et al . Cranioplasty: cosmetic or therapeutic?.  Surg Neurol. 1997;  47 238-241
• 7 Dujovny M, Agner C, Aviles A. Syndrome of the trephined: theory and facts.  Critical Reviews in Neurosurgery. 1999;  9 271-278
• 8 Dumbrigue H B, Arcuri M R, LaVelle W E. et al . Fabrication procedure for cranial prostheses.  J Prosthet Dent. 1998;  79 229-231
• 9 Fallahi B, Foroutan M, Motavalli S. et al . Computer-aided manufacturing of implants for the repair of large cranial defects: an improvement of the stereolithography technique.  Neurol Res. 1999;  21 281-286
• 10 Foroutan M, Fallahi B, Mottavalli S. et al . Stereolithography: application to neurosurgery.  Critical Reviews in Neurosurgery. 1998;  8 203-208
• 11 Gladstone H B, McDermott M W, Cooke D D. Implants for cranioplasty.  Otolaryngol Clin North Am. 1995;  28 381-400
• 12 Gulyas G, Pulay G, Volant M. et al . [Cranioplasty using computer-designed implants (preliminary report)] Koponyacsontpotlas szamitogep segitsegevel keszitett implantatummal (Elozetes kozlemeny).  Orv Hetil. 1995;  136 2393-2397
• 13 Joffe J M, McDermott P J, Linney A D. et al . Computer-generated titanium cranioplasty: report of a new technique for repairing skull defects.  Br J Neurosurg. 1992;  6 343-350
• 14 Joffe J M, Nicoll S R, Richards R. et al . Validation of computer-assisted manufacture of titanium plates for cranioplasty.  Int J Oral Maxillofac Surg. 1999;  28 309-313
• 15 Jordan R D, White J T, Schupper N. Technique for cranioplasty prosthesis fabrication.  J Prosthet Dent. 1978;  40 230-233
• 16 Lekas M D, Welch P T. Reconstruction of post-traumatic sinus osteomyelitis.  Laryngoscope. 1984;  94 1277-1280
• 17 Matsui T, Tsutsumi K, Kaizu H. et al . Reduction cranioplasty for craniocerebral disproportion due to chronic subdural hematoma in infants. A technical report.  Neurol Res. 2001;  23 67-71
• 18 Piotin M, Gailloud P, Reverdin A. et al . Epidermoid cyst of the skull with nonpulsatile tinnitus.  Neuroradiology. 1998;  40 452-454
• 19 Vories A, Mansfield E. Hydroxyapatite cranioplasty in fibrous dysplasia of the skull.  Ear Nose Throat J. 2001;  80 29-31
• 20 Wazen J J, Sisti M, Lam S M. Cranioplasty in acoustic neuroma surgery.  Laryngoscope. 2000;  110 1294-1297
• 21 Dujovny M, Fernandez P, Alperin N. et al . Post-cranioplasty cerebrospinal fluid hydrodynamic changes: magnetic resonance imaging quantitative analysis.  Neurol Res. 1997;  19 311-316
• 22 Fodstad H, Love J A, Ekstedt J. et al . Effect of cranioplasty on cerebrospinal fluid hydrodynamics in patients with the syndrome of the trephined.  Acta Neurochir (Wien). 1984;  70 21-30
• 23 Agner C, Dujovny M, Evenhouse R. et al . Stereolithography for posterior fossa cranioplasty.  Skull Base Surgery. 1998;  8 2-7
• 24 Harner S G, Beatty C W, Ebersold M J. Impact of cranioplasty on headache after acoustic neuroma removal.  Neurosurgery. 1995;  36 1097-1099
• 25 Lovely T J, Lowry D W, Jannetta P J. Functional outcome and the effect of cranioplasty after retromastoid craniectomy for microvascular decompression.  Surg Neurol. 1999;  51 191-197
• 26 van Gool A V. Preformed polymethylmethacrylate cranioplasties: report of 45 cases.  J Maxillofac Surg. 1985;  13 2-8
• 27 Nagayama K, Yoshikawa G, Somekawa K. et al . [Cranioplasty using the patient's autogenous bone preserved by freezing - an examination of post-operative infection rates].  No Shinkei Geka. 2002;  30 165-169
• 28 Vanaclocha V, Bazan A, Saiz-Sapena N. et al . Use of frozen cranial vault bone allografts in the repair of extensive cranial bone defects.  Acta Neurochir (Wien). 1997;  139 653-660