Quantitative Analysis of Dual-Purpose, Patient-Specific Craniofacial Implants for Correction of Temporal Deformity

Zhong, Shuting; Huang, Guangming; Susarla, Srinivas M.; Swanson, Edward W.; Huang, Judy; Gordon, Chad R.

doi:10.1227/neu.0000000000000679

Cited by 47 publications

(39 citation statements)

References 21 publications

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“…Cranioplasty is performed to provide protective coverage to the brain and to restore a pleasing aesthetic contour to the cranium [5]. In this case, temporal hollowing was caused by a combination of a temporal bone defect, muscle atrophy, and atrophy of the superficial temporal fat pad.…”

Section: Discussionmentioning

confidence: 99%

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Reconstruction of temporal hollowing using two alloplastic materials simultaneously with titanium mesh and a silicone implant

Jin¹,

Chung²,

Kim³

et al. 2019

Arch Aesthetic Plast Surg

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Temporal hollowing is a contour deformity that results in a concavity or hollowing of the temporal region, causing significant cosmetic problems that affect patients both physically and psychologically. For these patients, cranioplasty is needed for protective coverage of the brain and to restore a pleasing aesthetic contour to the cranium. We report a case in which titanium mesh was used as a customized craniofacial implant for a bony defect and a silicone implant was used for soft tissue augmentation of muscle and to address temporal fat pad atrophy. The procedure resulted in high patient satisfaction from an aesthetic standpoint and, importantly, restored a functional barrier resistant to trauma.

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Section: Discussionmentioning

confidence: 99%

“…Solutions for protective coverage of the cranium include an autogenous graft and the insertion of alloplastic implants [5]. Autologous bone flaps, frozen or banked, deriving from the subcutaneous tissue of the abdomen, remain the most common source.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of temporal hollowing using two alloplastic materials simultaneously with titanium mesh and a silicone implant

Jin¹,

Chung²,

Kim³

et al. 2019

Arch Aesthetic Plast Surg

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“…19 This includes frontoorbital and frontotemporal regions, as well as the parietal cranium, in patients with existing or predicted male pattern alopecia. Therefore, it seems critically important to report our ongoing experience and widen the current indications being considered for CCIs.…”

Section: Visionmentioning

confidence: 99%

Immediate Single-Stage Cranioplasty Following Calvarial Resection for Benign and Malignant Skull Neoplasms Using Customized Craniofacial Implants

Berli

Thomaier²,

Zhong

et al. 2015

Journal of Craniofacial Surgery

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With this preliminary experience, the authors have successfully demonstrated that immediate customized implant reconstructive techniques, by way of intraoperative modification, are both safe and feasible for benign and malignant skull neoplasms. The authors believe that with wider acceptance of this multidisciplinary approach and increased surgeon familiarity, this technique will soon become the reconstructive standard of care.

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“…Hollowing deformity due to muscle and/or fat pad atrophy can be remedied with a secondary implant using silicone or other materials; alternatively, to prevent secondary corrective procedures, there have been successful reports of prophylactically extending implant dimensions to add volume to the areas most susceptible to temporal hollowing. 23 In comparison with contouring an autograft intraoperatively, having the prosthesis premade will reduce operative time.…”

Section: Discussionmentioning

confidence: 99%

Frontorbital Fibrous Dysplasia Resection and Reconstruction With Custom Polyetherlatone Alloplast

Nahumi

Shohet²,

Bederson³

et al. 2015

Journal of Craniofacial Surgery

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Fibrous dysplasia (FD) is a benign, pathological development of bone. Craniofacial bones are the most commonly involved and can potentially cause visual disturbance, proptosis, orbital dystopia, and facial deformity. This case involves a 13-year-old girl with significant proptosis (20 mm left, 17.5 mm right) and downward displacement of the left globe (1.5 mm) due to fibrous dysplasia. Reconstruction was performed with computed tomography-derived and 3D printed custom polyetheretherketone (PEEK) implantation. PEEK is a nonabsorbable, nonporous thermoplastic polymer notable for its ability to be modified intraoperatively and ideal imaging properties postoperatively. Never, to our knowledge, has PEEK been used for primary reconstruction of the frontal orbital region in fibrous dysplasia in a child. The lesion was successfully repaired with excellent aesthetic and no apparent damage to neurovascular or ocular structures.

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Quantitative Analysis of Dual-Purpose, Patient-Specific Craniofacial Implants for Correction of Temporal Deformity

Abstract: Computer-designed, dual-purpose CCIs can be safely created with unprecedented shape to prevent and/or eradicate postoperative temporal deformity.

Cited by 47 publications

References 21 publications

Reconstruction of temporal hollowing using two alloplastic materials simultaneously with titanium mesh and a silicone implant

Reconstruction of temporal hollowing using two alloplastic materials simultaneously with titanium mesh and a silicone implant

Immediate Single-Stage Cranioplasty Following Calvarial Resection for Benign and Malignant Skull Neoplasms Using Customized Craniofacial Implants

Frontorbital Fibrous Dysplasia Resection and Reconstruction With Custom Polyetherlatone Alloplast

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