Prosthetic rehabilitation in neurosurgical cranioplasty

Joseph, Thara Maria; Harshakumar, K; Lylajam, S

doi:10.4103/jips.jips_136_17

Cited by 10 publications

(8 citation statements)

References 11 publications

(13 reference statements)

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“…Subsequent cranioplasty may be required to compensate for the defect and to alleviate various signs and symptoms. [ 6 ] The cost effectiveness of the procedure represents a further important point. Cranioplast is classified as autograft, allograft, xenograft, and alloplast.…”

Section: Discussionmentioning

confidence: 99%

“…Various metallic alloplasts are gold, titanium, and tantalum. [ 6 ] Nonmetallic alloplasts include polymethyl methacrylate (PMMA), polytetrafluoroethylene, carbon-reinforced polymer, and recently introduced PEEK. [ 6 ] The resection of autologous bone material is an invasive procedure with significant donor site morbidity.…”

Section: Discussionmentioning

confidence: 99%

“…[ 6 ] Nonmetallic alloplasts include polymethyl methacrylate (PMMA), polytetrafluoroethylene, carbon-reinforced polymer, and recently introduced PEEK. [ 6 ] The resection of autologous bone material is an invasive procedure with significant donor site morbidity. [ 4 ] Therefore, currently, alloplastic materials have nearly replaced these invasive procedures of harvesting distant autologous bone material for cranial reconstruction.…”

Section: Discussionmentioning

confidence: 99%

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Stereophotogrammetric Method for Fabrication of Cranioplast Using Digital Facial Scan Technology - A Case Report

Gupta

Gill

et al. 2022

Annals of Maxillofacial Surgery

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Rationale: Traumatic brain injury is the most common cause of cranial defects. Cranioplasty is the surgical intervention performed to repair cranial defects. The purpose of a cranioplast is to protect the underlying brain tissues, reduce pain, and improve calvarial contour and symmetry. Patient Concerns: This case report describes the management of an ambulatory aided patient who met with a road traffic accident and had undergone decompressive craniectomy. Diagnosis: Noncontrast computed tomography confirmed the frontal cranial defect and was planned for decompressive craniectomy. Treatment Plan: An innovative multi-camera three-dimensional (3D) face-scanning software (Bellus 3D) was used for facial scanning to obtain a 3D face model and fabrication of 3D model using rich presence technology. Outcomes: The wax pattern was then fabricated on a 3D-prototyped model and a customised polymethylmethacrylate cranioplast was fabricated. Take-Away Lessons: his method with the added advantage of rapid prototyping technology resulted in prosthesis with good aesthetics and better fit.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Stereophotogrammetric Method for Fabrication of Cranioplast Using Digital Facial Scan Technology - A Case Report

Gupta

Gill

et al. 2022

Annals of Maxillofacial Surgery

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show abstract

“…On the other hand, nonmetallic alloplasts include celluloids, PMMA, hydroxyapatite, polyethylene, chorale, ceramic, cortoss, carbon-fiber-reinforced-polymer, and recently introduced polyether ether ketone which are used in orthopedics as an implant material. [ 6 ]…”

Section: Discussionmentioning

confidence: 99%

Rapid prototyping technology for cranioplasty: A case series

Thakur

Chauhan

Viswambaran

et al. 2019

J Indian Prosthodont Soc

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Cranial vault defects may be acquired or congenital in origin. Rehabilitation of these patients often poses challenge to the operating team and prosthodontist. Polymethylmethacrylate is a commonly used alloplastic graft material which is used for the fabrication of cranial prosthesis. Nowadays, with the advancement in the bioengineering, custom-made template and cranial prosthesis can be made by rapid prototyping technology (RPT) by patient three-dimensional (3D) computed tomography (CT) scan images. This series of two cases explained two different techniques for the rehabilitation of the patient with frontotemporoparietal cranial defect. Case 1 had a history of cerebrovascular accident, followed by decompression craniotomy which led to frontotemporoparietal defect of the left side. This defect area was associated with the cerebrospinal fluid accumulation which made delineation of underlying bony margins difficult and interfered with conventional impression procedures. Case 2 had a road traffic accident which led to intracerebral hemorrhage followed by decompression craniotomy which resulted in frontotemporoparietal defect of the right side. The patient had a poor neuromuscular control which impedes with the upright posture of the head during impression making of the defect area. Therefore, these cases were planned to rehabilitate by RPT. In these techniques, the prosthesis was made using custom-made skull template produced by RPT, using the data of 3D-CT scan images. This technique resulted in the prosthesis with good esthetics and better fit of the prosthesis. The contours of the prosthesis were replicated in the same manner as compared to the contralateral side. RPT is an additive manufacturing technology which is now used in the field of dentistry too. This technique is easy to use; fabricate prosthesis with high precision is less time-consuming and has fewer chances of error.

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“…The edges of the prosthesis were beveled with a flame-shaped acrylic bur, for a smooth transition of prosthesis over the bony margins. The prosthesis was finished, polished, and disinfected by soaking in 2% glutaraldehyde solution for 48 h.[ 4 ]…”

Section: Methodsmentioning

confidence: 99%

Multidimensional evaluation of prosthetically rehabilitated\cranial defects using key behavior change inventory

Nagarajan¹,

Prakash

Bhandari

2021

J Indian Prosthodont Soc

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Defects of the cranial vault can result from the decompressive craniectomy secondary to trauma, cerebral infections, resection of intracranial processes, or bone invading skin tumors. Reconstruction of the cranial vault not only provides protection and esthetic reasons but also maintains and restores physiological circulatory system of the cerebrum essential for the regulation of intracranial pressure. This paper presents prosthetic rehabilitation of two patients, who suffered head injury resulting in extensive frontoparieto temporal defects that induced symptoms such as headache, fatigue, loss of concentration, loss of memory, and depression. Along with the physical dysfunction and disfigurement, the injury resulted in a deep psychological impact on overall well-being and self-esteem of the patient as well as the close family members. The patients were prosthetically rehabilitated with custom-made heat polymerized polymethyl methacrylate cranial prosthesis and the assessment of postrehabilitation outcome was done using a specific measurement tool; key behaviors change inventory (KBCI) a 64-item questionnaire that evaluates executive, interpersonal, and emotional functioning behaviors following traumatic brain injury. Rehabilitation resulted in the restoration of form, function, and esthetics along with the improvement in psychological status and general health as reflected in KBCI scores posttreatment. Based on the posttreatment scores obtained in the cases under study, it is suggested that KBCI may serve as an important prognostic tool for the assessment of treatment outcomes.

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Prosthetic rehabilitation in neurosurgical cranioplasty

Cited by 10 publications

References 11 publications

Stereophotogrammetric Method for Fabrication of Cranioplast Using Digital Facial Scan Technology - A Case Report

Stereophotogrammetric Method for Fabrication of Cranioplast Using Digital Facial Scan Technology - A Case Report

Rapid prototyping technology for cranioplasty: A case series

Multidimensional evaluation of prosthetically rehabilitated\cranial defects using key behavior change inventory

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