Cranioplasty: A Comprehensive Review of the History, Materials, Surgical Aspects, and Complications

Alkhaibary, Ali; Alharbi, Ahoud; Alnefaie, Nada; Almubarak, Abdulaziz Oqalaa; Aloraidi, Ahmed; Khairy, Sami

doi:10.1016/j.wneu.2020.04.211

Cited by 140 publications

(139 citation statements)

References 74 publications

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“…Secondary to head trauma, cerebral tumors, congenital defects, infections, or previous surgery complications, cranial reconstruction aims to restore the skull's integrity to ensure adequate protection and functionality of the underlying brain (Goiato et al, 2009;Aydin et al, 2011). Moreover, it alleviates the psychological and social consequences of esthetic impairment (Bonda et al, 2015;Alkhaibary et al, 2020). Among all alloplastic materials, titanium continues to be the mainstream material used in cranioplasty due to its excellent biocompatibility, resistance to infection, high strength to weight ratio, corrosion resistance, non-magnetic properties, and toughness (Niinomi, 1998;Zhang and Chen, 2019).…”

Section: Introductionmentioning

confidence: 99%

Design and Additive Manufacturing of a Biomimetic Customized Cranial Implant Based on Voronoi Diagram

et al. 2021

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Reconstruction of cranial defects is an arduous task for craniomaxillofacial surgeons. Additive manufacturing (AM) or three-dimensional (3D) printing of titanium patient-specific implants (PSIs) made its way into cranioplasty, improving the clinical outcomes in complex surgical procedures. There has been a significant interest within the medical community in redesigning implants based on natural analogies. This paper proposes a workflow to create a biomimetic patient-specific cranial prosthesis with an interconnected strut macrostructure mimicking bone trabeculae. The method implements an interactive generative design approach based on the Voronoi diagram or tessellations. Furthermore, the quasi-self-supporting fabrication feasibility of the biomimetic, lightweight titanium cranial prosthesis design is assessed using Selective Laser Melting (SLM) technology.

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Section: Introductionmentioning

confidence: 99%

Design and Additive Manufacturing of a Biomimetic Customized Cranial Implant Based on Voronoi Diagram

et al. 2021

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“…Cranioplasty is done either in an autologous manner or by using artificial meshes or implants. Accordingly, materials used for cranioplasty can be classified as biological and artificial or synthetic materials [2]. In autologous cranioplasty, bones from cranium or from other areas of the body are utilized.…”

Section: Discussionmentioning

confidence: 99%

Giant Acute Extradural Hematoma following Titanium Mesh Cranioplasty

Singh¹,

Prasad²,

Singh³

et al. 2021

JCR

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Background: Giant acute extradural hematoma following titanium mesh cranioplasty is very rare. Case Report: We report a giant post-cranioplasty extradural hematoma which required surgical evacuation and removal of titanium implant. The titanium mesh cranioplasty was done for a post-craniectomy defect from right sided decompressive craniectomy for right fronto-temporo-parietal acute subdural hematoma (aSDH) and contusion. On surgical evacuation, patient recovered. Later on repeat titanium mesh cranioplasty was done with no complications. Conclusion: This case report intends to warn against a potential dangerous complication following cranioplasty in the postoperative period that must be kept in mind while doing post-operative care.

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“…В различные исторические периоды для этих целей применялись также сталь, золото, серебро, тантал, которые имели свои существенные недостатки и в настоящее время не используются. Из синтетических материалов для краниопластики наибольшее распространение получили и в настоящее время успешно применяются титан, полиэфирэфиркетон (polyether ether ketone, PEEK), полиметилметакрилат (poly(methyl methacrylate, PMMA) и гидроксиапатит [7].…”

Section: выбор материала имплантатаunclassified

Reconstruction of Valular Bones Defects Using CAD/CAM Technology at the Stage of Rehabilitation: State of the Problem

Vorobyev

Николаевич²,

Pryanikov

et al. 2021

Physical and rehabilitation medicine, medical rehabilitation

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The number of victims with difficult defects of the skull bones, which should restore the integrity of the skull is growing annually, both in connection with the increase in severe traumatic brain injury (TBI), and in connection with the expansion of indications for decompressive craniotomy not only in traumatic brain injury, but also vascular disease, neuro-Oncology for the relief of hypertension-dislocation syndrome. Cranioplasty at the stage of early rehabilitation of patients after decopressive craniotomy is an important condition for effective rehabilitation measures. Currently, titanium, polyether ethyl ketone (PEEK), polymethyl methacrylate (PMMA) and hydroxyapatite are actively used as the material for the implant. Unfortunately, none of the synthetic materials used meet the conditions of the perfect implant by 100%. CAD/CAM 3D printing technologies are used to achieve absolute accuracy of the implant that replicates the missing part of the patients skull bone, which is especially important in the presence of extensive and complex defects. The use of this technology at the preoperative stage directly in the medical institution where the cranioplasty will be performed avoids additional logistics, reduces the time from the patients admission to the hospital before the operation and reduces the cost of manufacturing implants, making them more accessible to healthcare institutions. also, the absence of the need for intraoperative implant adjustment significantly reduces the operation time, reduces the risk of infectious complications and complications associated with prolonged general anesthesia. The favorable course of the postoperative period allows you to resume rehabilitation activities on the third or fourth day after cranioplasty.

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Cranioplasty: A Comprehensive Review of the History, Materials, Surgical Aspects, and Complications

Cited by 140 publications

References 74 publications

Design and Additive Manufacturing of a Biomimetic Customized Cranial Implant Based on Voronoi Diagram

Design and Additive Manufacturing of a Biomimetic Customized Cranial Implant Based on Voronoi Diagram

Giant Acute Extradural Hematoma following Titanium Mesh Cranioplasty

Reconstruction of Valular Bones Defects Using CAD/CAM Technology at the Stage of Rehabilitation: State of the Problem

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