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A New Type of Three-Dimensional Customized Composite Implant in Reconstruction of Large Skull Defects
- Source :
- Journal of Craniofacial Surgery. 32:1045-1048
- Publication Year :
- 2020
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2020.
-
Abstract
- Large skull defects can result in chronic injury to intracranial tissues as well as psychological trauma for patients, and their repair presents a challenge to surgeons. Hydroxyapatite has been used in reconstructing skull defects for many years, but it is difficult to adjust the shape and size of the material intraoperatively, especially for large defects. With three-dimensional digital technology, a new type of customized composite implant made of epoxide acrylate maleic and hydroxyapatite has been applied in clinical practice. In this retrospective review, 15 patients with large skull defects (4 female and 11 male, at a mean age of 36.4 years, range from 24-65 years) were treated with the novel customized composite implant, reconstructing the large skull defects successfully. During the average 2.2 years follow-up period (range 0.5-4 years), complications including infection, cerebrospinal fluid leakage, intracranial hemorrhage, or implant exposurea were not occured, only 1 patient (6.7%) with a seroma managed non-operatively. The customized implants, which required no intraoperative adjustments and are about a third of the cost of titanium implants, are an excellent alternative for large skull defect repair.
- Subjects :
- Adult
Male
Defect repair
Large skull
Dentistry
Young Adult
03 medical and health sciences
0302 clinical medicine
Humans
Medicine
030223 otorhinolaryngology
Aged
Retrospective Studies
Dental Implants
Cerebrospinal Fluid Leakage
business.industry
Skull
Mean age
030206 dentistry
General Medicine
Middle Aged
Plastic Surgery Procedures
medicine.disease
Clinical Practice
Durapatite
medicine.anatomical_structure
Otorhinolaryngology
Seroma
Female
Surgery
Implant
business
Subjects
Details
- ISSN :
- 15363732 and 10492275
- Volume :
- 32
- Database :
- OpenAIRE
- Journal :
- Journal of Craniofacial Surgery
- Accession number :
- edsair.doi.dedup.....50fb1f6b2cf2000c89eabed75d178351