Bespoke Implants for Cranial Reconstructions: Preoperative to Postoperative Surgery Management System
Traumatic brain injury is a leading cause of death and disability worldwide, with nearly 90% of the deaths coming from low- and middle-income countries. Severe cases of brain injury often require a craniectomy, succeeded by cranioplasty surgery to restore the integrity of the skull for both cerebral...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Bioengineering |
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| Online Access: | https://www.mdpi.com/2306-5354/10/5/544 |
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| author | Mihaela-Elena Ulmeanu Ileana Mariana Mateș Cristian-Vasile Doicin Marian Mitrică Vasile Alin Chirteș Georgian Ciobotaru Augustin Semenescu |
| author_facet | Mihaela-Elena Ulmeanu Ileana Mariana Mateș Cristian-Vasile Doicin Marian Mitrică Vasile Alin Chirteș Georgian Ciobotaru Augustin Semenescu |
| author_sort | Mihaela-Elena Ulmeanu |
| collection | DOAJ |
| description | Traumatic brain injury is a leading cause of death and disability worldwide, with nearly 90% of the deaths coming from low- and middle-income countries. Severe cases of brain injury often require a craniectomy, succeeded by cranioplasty surgery to restore the integrity of the skull for both cerebral protection and cosmetic purposes. The current paper proposes a study on developing and implementing an integrative surgery management system for cranial reconstructions using bespoke implants as an accessible and cost-effective solution. Bespoke cranial implants were designed for three patients and subsequent cranioplasties were performed. Overall dimensional accuracy was evaluated on all three axes and surface roughness was measured with a minimum value of 2.209 μm for Ra on the convex and concave surfaces of the 3D-printed prototype implants. Improvements in patient compliance and quality of life were reported in postoperative evaluations of all patients involved in the study. No complications were registered from both short-term and long-term monitoring. Material and processing costs were lower compared to a metal 3D-printed implants through the usage of readily available tools and materials, such as standardized and regulated bone cement materials, for the manufacturing of the final bespoke cranial implants. Intraoperative times were reduced through the pre-planning management stages, leading to a better implant fit and overall patient satisfaction. |
| first_indexed | 2024-03-11T03:56:12Z |
| format | Article |
| id | doaj.art-e8b56587e67d41f0ad45c93dbe61fdbe |
| institution | Directory Open Access Journal |
| issn | 2306-5354 |
| language | English |
| last_indexed | 2024-03-11T03:56:12Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Bioengineering |
| spelling | doaj.art-e8b56587e67d41f0ad45c93dbe61fdbe2023-11-18T00:30:58ZengMDPI AGBioengineering2306-53542023-04-0110554410.3390/bioengineering10050544Bespoke Implants for Cranial Reconstructions: Preoperative to Postoperative Surgery Management SystemMihaela-Elena Ulmeanu0Ileana Mariana Mateș1Cristian-Vasile Doicin2Marian Mitrică3Vasile Alin Chirteș4Georgian Ciobotaru5Augustin Semenescu6Faculty of Industrial Engineering and Robotics, University POLITEHNICA of Bucharest, 060042 Bucharest, RomaniaCentral Military Emergency University Hospital “Dr. Carol Davila”, 010825 Bucharest, RomaniaFaculty of Industrial Engineering and Robotics, University POLITEHNICA of Bucharest, 060042 Bucharest, RomaniaCentral Military Emergency University Hospital “Dr. Carol Davila”, 010825 Bucharest, RomaniaCentral Military Emergency University Hospital “Dr. Carol Davila”, 010825 Bucharest, RomaniaCentral Military Emergency University Hospital “Dr. Carol Davila”, 010825 Bucharest, RomaniaFaculty of Materials Science and Engineering, University POLITEHNICA of Bucharest, 060042 Bucharest, RomaniaTraumatic brain injury is a leading cause of death and disability worldwide, with nearly 90% of the deaths coming from low- and middle-income countries. Severe cases of brain injury often require a craniectomy, succeeded by cranioplasty surgery to restore the integrity of the skull for both cerebral protection and cosmetic purposes. The current paper proposes a study on developing and implementing an integrative surgery management system for cranial reconstructions using bespoke implants as an accessible and cost-effective solution. Bespoke cranial implants were designed for three patients and subsequent cranioplasties were performed. Overall dimensional accuracy was evaluated on all three axes and surface roughness was measured with a minimum value of 2.209 μm for Ra on the convex and concave surfaces of the 3D-printed prototype implants. Improvements in patient compliance and quality of life were reported in postoperative evaluations of all patients involved in the study. No complications were registered from both short-term and long-term monitoring. Material and processing costs were lower compared to a metal 3D-printed implants through the usage of readily available tools and materials, such as standardized and regulated bone cement materials, for the manufacturing of the final bespoke cranial implants. Intraoperative times were reduced through the pre-planning management stages, leading to a better implant fit and overall patient satisfaction.https://www.mdpi.com/2306-5354/10/5/544cranioplastybespoke cranial implantadditive manufacturingsurgery management system |
| spellingShingle | Mihaela-Elena Ulmeanu Ileana Mariana Mateș Cristian-Vasile Doicin Marian Mitrică Vasile Alin Chirteș Georgian Ciobotaru Augustin Semenescu Bespoke Implants for Cranial Reconstructions: Preoperative to Postoperative Surgery Management System Bioengineering cranioplasty bespoke cranial implant additive manufacturing surgery management system |
| title | Bespoke Implants for Cranial Reconstructions: Preoperative to Postoperative Surgery Management System |
| title_full | Bespoke Implants for Cranial Reconstructions: Preoperative to Postoperative Surgery Management System |
| title_fullStr | Bespoke Implants for Cranial Reconstructions: Preoperative to Postoperative Surgery Management System |
| title_full_unstemmed | Bespoke Implants for Cranial Reconstructions: Preoperative to Postoperative Surgery Management System |
| title_short | Bespoke Implants for Cranial Reconstructions: Preoperative to Postoperative Surgery Management System |
| title_sort | bespoke implants for cranial reconstructions preoperative to postoperative surgery management system |
| topic | cranioplasty bespoke cranial implant additive manufacturing surgery management system |
| url | https://www.mdpi.com/2306-5354/10/5/544 |
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