Construction of titanium cranioplasty plate using craniectomy bone flap as template |
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Authors: | D Bhargava P Bartlett J Russell M Liddington A Tyagi and P Chumas |
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Institution: | (1) Department of Neurosurgery, Leeds General Infirmary, Leeds, LS1 3EX, UK;(2) Maxillofacial Surgery, Leeds General Infirmary, Leeds, UK;(3) Leeds Dental Institute, Leeds General Infirmary, Leeds, UK |
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Abstract: | In recent times a steady rise in cranioplasty operations has been noted because of increasing utilisation of decompressive
craniectomy for trauma as well as stroke patients. A variety of techniques have been utilised for cranioplasty, with their
own benefits and limitations. Titanium cranioplasty is one of the well-established and widely used techniques, with most centres
utilising computer-assisted reconstruction for manufacture of titanium plates. In this paper we present a novel method for
making titanium cranioplasty plates using the craniectomy bone flap as a template and the results of our experience. To date
we have performed 51 cranioplasties using this method. The surgical results have been comparable to those obtained using the
computer-assisted model technique. The construction cost for titanium cranioplasty plates using this method has been £360
cheaper per plate compared with the computer-assisted method. In addition, the CT workload and radiation exposure have been
reduced. |
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