Etiology and Epidemiology of Acquired Defects of the Skull Bones, Obtained With Different Pathologies of the Central Nervous System and the Number of Patients Needing to Their Closed Case for Large Industrial City

Reconstructive plastic surgery procedures — cranioplasty in particular — are finding their way into the current dayto-day neurosurgery practices. A defect in the skull bones leads not only to cosmetic defects and related psychological problems, but can also cause neurological disorders. Reconstruction of skull defects is considered an important neurosurgical stage of craniocerebral injury victims’ recovery. Currently, there are no clear established algorithms or timing for cranioplasty. This paper presents data on the history and stages of the development of reconstructive neurosurgery. The efficiency of treatment of the syndrome of the trephinated with cranioplasty has been proven. The key materials used to close the skull bones defects are presented and the requirements for the material used for closing cranial defects are described. Advantages and disadvantages of materials currently used — autograft bone, allograft bone, reperen, polyetherketone, polymethylmethacrylate, titanium, hydroxyapatite — are presented in detail. A separate section of the article is devoted to the methods of transplant modelling — 3D printing and stereolithography. This is followed by the stipulation of the key principles of cranioplasty.

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Cranioplasty: Materials and Methods Review

Яриков

Фраерман

Leonov

et al. 2020

Kreativnaâ hirurgiâ i onkologiâ

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The application of three-dimensional prototyping and printing in reconstructive neurosurgery and vertebrology (literature review and own results)

Yarikov¹,

Gorbatov

Шпагин

et al. 2021

Vestnik Nevrologii, Psihiatrii I Nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery)

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This article is devoted to the analysis of the possibility of using additive technologies in clinical practice. The number of medical specialties that use 3D printing technologies to treat patients is increasing every year. Thanks to the emergence of high-tech qualified medical care, it is possible to carry out the most complex surgical interventions and give a person who is faced with serious diseases a high-quality and fulfilling life. The creation of a 3D model using the data of a specific patient, the use of 3D computer modeling and additive technologies have become a real breakthrough in many areas of surgery. Today, such an approach in planning reconstructive and restorative operations occupies an important position in modern medicine. The authors of the article presented their experience of using additive 3D printing technologies in clinical practice. The researchers paid special attention to the results of the use of additive technologies in the treatment of diseases of the spine: deformities, degenerative-dystrophic and oncological diseases.

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Analysis of cranioplasty procedures performed in Novosibirsk from 2016 to 2022

Mishinov,

Kalinovskiy,

Rzaev

et al. 2023

Innovacionnaâ medicina Kubani

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Background: Studies on reconstructive neurosurgical interventions are always relevant due to the persistence of cranial defects, mainly caused by traumatic brain injuries (TBI). To provide medical care to the patients with cranial defects more efficiently, it is necessary to assess a large number of surgical interventions in studies.Objective: To analyze data on reconstructive neurosurgical interventions performed at Novosibirsk hospitals.Methods: We performed a multicenter observational retrospective non-randomized study of the total cranioplasty surgical interventions from 2016 to 2022. The study involved five neurosurgical departments in Novosibirsk hospitals. In 450 of 673 cases the inclusion criteria were met.Results: The majority of patients (n = 361; 80.2%) underwent surgical interventions in federal health facilities. Urban residents prevailed (n = 260) among the patients who met the inclusion criteria. Craniectomies were mainly indicated for the consequences of TBI (n = 319; 70.9%). Time to cranioplasty ranged from 0.1 to 320 months (mean: 23.9 ± 39.2; median: 11.6 months). There were non-clinically significant differences in terms of primary and reconstructive operations between the defects caused by TBI and other conditions. In 51.1% of cases, we found two features describing the size and complexity of the skull defect. In 19.3% of cases, patients were diagnosed with a skull defect (affected anatomical areas were specified).Conclusions: Over seven years, 450 Novosibirsk residents underwent cranioplasty in five neurosurgical Novosibirsk hospitals (mean: 64.3 surgical interventions a year). Comparing the recent results with previous studies data in terms of performed craniectomies, we found that reconstructive interventions are lacking 99.7 cases per year. To reduce the time to cranioplasty, it is necessary to make a registry of patients with skull defects.

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Etiology and Epidemiology of Acquired Defects of the Skull Bones, Obtained With Different Pathologies of the Central Nervous System and the Number of Patients Needing to Their Closed Case for Large Industrial City

Cited by 3 publications

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Cranioplasty: Materials and Methods Review

Cranioplasty: Materials and Methods Review

The application of three-dimensional prototyping and printing in reconstructive neurosurgery and vertebrology (literature review and own results)

Analysis of cranioplasty procedures performed in Novosibirsk from 2016 to 2022

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