Automatic Skull Defect Restoration and Cranial Implant Generation for Cranioplasty

2021 ◽  
pp. 102171
Author(s):  
Jianning Li ◽  
Gord von Campe ◽  
Antonio Pepe ◽  
Christina Gsaxner ◽  
Enpeng Wang ◽  
...  
Keyword(s):  
2021 ◽  
pp. 1-6
Author(s):  
Sonal Jain ◽  
Shelly Wang ◽  
Carolina Sandoval-Garcia ◽  
George M. Ibrahim ◽  
Walker L. Robinson ◽  
...  

<b><i>Introduction:</i></b> Reconstruction of cranial defects in children less than 2 years of age, particularly when there is an associated dural defect, is challenging due to the need to accommodate active skull growth, limited options for autologous bone graft and thin calvarial bones. We use a simple remodeling technique that exploits the normal dura’s inherent potential for new bone growth while covering the dural defect with adjacent skull. <b><i>Case Presentation:</i></b> We describe an alternating, two-piece craniotomy or “switch-cranioplasty technique” to repair an occipital meningocele. The two pieces of craniotomy bone flap created around the existing skull and dural defect are switched in the horizontal plane in order to cover the site of the defect and the abnormal dura of the meningocele closure. The area of the original skull defect is transposed laterally over the normal dura. The healing of the lateral skull defects is facilitated with autologous bone chips and dust and covered by periosteal flaps that stimulate spontaneous re-ossification. <b><i>Discussion:</i></b> The advantages of this technique are the use of autologous bone adjacent to the skull defect, incorporation of the autologous bone into the growing skull, an acceptable cosmetic and functional outcome in a simple manner. The indications can be extended to include small to medium-sized calvarial defects secondary to leptomeningeal cyst and trauma.


Metals ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 496
Author(s):  
Khaja Moiduddin ◽  
Syed Hammad Mian ◽  
Wadea Ameen ◽  
Hisham Alkhalefah ◽  
Abdul Sayeed

Additive manufacturing (AM), particularly electron beam melting (EBM), is becoming increasingly common in the medical industry because of its remarkable benefits. The application of personalized titanium alloy implants produced using EBM has received considerable attention in recent times due to their simplicity and efficacy. However, these tailored implants are not cost-effective, placing a tremendous strain on the patient. The use of additional materials as support during the manufacturing process is one of the key causes of its high cost. A lot of research has been done to lessen the use of supports through various types of support designs. There is indeed a noticeable paucity of studies in the literature that have examined customized implants produced without or minimal supports. This research, therefore, reports on the investigation of cranial implants fabricated with and without supports. The two personalized implants are evaluated in terms of their cost, fabrication time, and accuracy. The study showed impressive results for cranial implants manufactured without supports that cost 39% less than the implants with supports. Similarly, the implant’s (without supports) build time was 18% less than its equivalent with supports. The two implants also demonstrated similar fitting accuracy with 0.2613 mm error in the instance of implant built without supports and 0.2544 mm for the implant with supports. The results indicate that cranial implants can be produced without EBM supports, which can minimize both production time and cost substantially. However, the manufacture of other complex implants without supports needs further study. The future study also requires a detailed review of the mechanical and structural characteristics of cranial implants built without supports.


2012 ◽  
Vol 23 (6) ◽  
pp. e591-e594 ◽  
Author(s):  
Dheeraj Kumar Koli ◽  
Aditi Nanda ◽  
Mahesh Verma
Keyword(s):  

1991 ◽  
Vol 75 (2) ◽  
pp. 328-330 ◽  
Author(s):  
Akira Yanai

✓ A new method of cranioplasty is described. The skull defect is exposed and multiple angled holes are drilled in the outer cortical bone around the defect. A resin plate is conventionally molded to fit the defect. After the resin plate is positioned in the skull defect, newly prepared viscous resin putty is injected into the holes around the defect. The viscous resin comes into contact with the margin of resin plate and, when it hardens, a monoblock casting of resin is formed. The resin plate is sealed to the bone. This technique has the main advantage of strength and good cosmetic appearance.


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