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Craniofacial Prosthetic Reconstruction Using Polymethyl Methacrylate Implant: A Case Report

  • Clinical Report
  • Published:
The Journal of Indian Prosthodontic Society

Abstract

Large cranial defects of complex geometric shapes are challenging to reconstruct. The cranial implants has to be fabricated prior to the cranioplastic surgery. The ideal material for cranial implant has to be inert, light weight, easy to fit and adaptable to the defect, offering the best aesthetic and functional results. Here is a clinical case report of a patient who was operated for osteomyelitis in the parieto-temporal region. The defect was reconstructed with heat cure polymethylmethacrylate (PMMA). Operative closure of the defect was facilitated with ligature titanium wires with minimal prosthesis contouring. The heat cure PMMA cranial implant is a safe, easy and economic alternative with great adaptability to cranial vault defects. The cosmetic results in this patient was excellent. No post-operative complications occurred.

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References

  1. Juan F, Santiago, Adolfo et al (2011) Design and manufacturing of a custom skull implant. Am J Eng Appl Sci 4(1):169–174

    Article  Google Scholar 

  2. Joffe JM, Nicoll SR, Richards R, Linney AD, Harris M (1999) Validation of computer-assisted manufacture of titanium plates for cranioplasty. Int J Oral Maxillofac Surg 28(309–313):1999

    Google Scholar 

  3. Chacon E, Jose FH, Sandra PC, Fabricio CZ et al (2009) Cranial vault reconstruction using computer-designed Polyetheretherketone (PEEK) implant: case report. Cir Ciruj 77(437–440):2009

    Google Scholar 

  4. Origitano TC, Ricardo I, Louis BS (1995) Reconstructing complex cranial defects with a preformed cranial prosthesis. Skull Base Surg 5(5):109–116

    Article  PubMed Central  PubMed  Google Scholar 

  5. Artico M, Ferrante L, Pastore FS, Ramundo EO, Cantarelli D et al (2003) Bone autografting of the calvaria and craniofacial skeleton: Historical background, surgical results in a series of 15 patients, and review of the literature. Surg Neurol 60:71–79

    Article  PubMed  Google Scholar 

  6. Malis L (1989) Titanium mesh and acrylic cranioplasty. Neurosurg 25:351–355

    Article  Google Scholar 

  7. Yanai MDA (1991) Resin sealant: a new method of methyl methacrylate cranioplasty. Technical note. J Neurosurg 75:328–330

    Article  PubMed  Google Scholar 

  8. Gronet PM, Waskewicz GA, Richardson C (2003) Preformed acrylic cranial implants using fused deposition modeling: a clinical report. J Prosthet Dent 90:429–433

    Article  PubMed  Google Scholar 

  9. Joffe JM, Mcdermott PJC, Linney AD, Mosse CA, Harris M (1992) Computer-generated titanium cranioplasty: report of a new technique for repairing skull defects. Br J Neurosurg 6:343–350

    Article  PubMed  Google Scholar 

  10. Santoni-Rugiu P (1969) Repair of skull defects by outer table osteoperiosteal free grafts. Plast Reconstr Surg 43:157–161

    Article  PubMed  Google Scholar 

  11. Kulali A, Kayaale S (1991) Single-table autogenous calvarial grafting for cranioplasty. J Craniomaxillofac Surg 19:208–211

    Article  PubMed  Google Scholar 

  12. Psillakis JM, Nocchi VL, Zanini SA (1979) Repair of large defect of frontal bone with free graft of outer table of parietal bones. Plast Reconstr Surg 64:827–830

    Article  PubMed  Google Scholar 

  13. Prolo DJ, Oklund S (1984) Composite autogeneic human cranioplasty: frozen skull supplemented with fresh iliac corticocancellous bone. Neurosurgery 15:846–851

    Article  PubMed  Google Scholar 

  14. Osawa M, Hara H, Ichinose Y, Koyama T, Kobayashi S et al (1990) Cranioplasty with a frozen and autoclaved bone flap. Acta Neurochir 102:38–41

    Article  PubMed  Google Scholar 

  15. Hollier LH, Stal S (2004) The use of hydroxyapatite cements in craniofacial surgery. Clin Plast Surg 31:423–428

    Article  PubMed  Google Scholar 

  16. Koppel DA, Moos KF, Walker FS (1999) Skull reconstruction with a two-part interlocking custom made titanium plate. Br J Oral Maxillofac Surg 37:70–72

    Article  PubMed  Google Scholar 

  17. Kuttenberger JJ, Hardt N (2001) Long-term results following reconstruction of craniofacial defects with titanium micro-mesh systems. J Craniomaxillofac Surg 29:75–81

    Article  PubMed  Google Scholar 

  18. Solaro P, Pierangeli E, Pizzoni C, Boffi P, Scalese G, Di Lorenzo N, Pirillo V (2008) From computerized tomography data processing to rapid manufacturing of custom-made prostheses for cranioplasty: case report. J Neurosurg Sci 52(4):113–116

    PubMed  Google Scholar 

  19. Anusavice JK (2003) Phillip’s science of dental materials (ch-22), 11th edn. Elsevier, St. Louis, p 733

    Google Scholar 

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Authors and Affiliations

  1. Vinayaka Mission’s Snakarachariyar Dental College, Salem, India

    Paul Simon, Jayashree Mohan & Sunantha Selvaraj

  2. Hi-Tech Medical College, Salem, India

    B. S. Saravanan & Parikodaiarasan Pari

Authors
  1. Paul Simon
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  2. Jayashree Mohan
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  3. Sunantha Selvaraj
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  4. B. S. Saravanan
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  5. Parikodaiarasan Pari
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Correspondence to Sunantha Selvaraj.

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Simon, P., Mohan, J., Selvaraj, S. et al. Craniofacial Prosthetic Reconstruction Using Polymethyl Methacrylate Implant: A Case Report. J Indian Prosthodont Soc 14 (Suppl 1), 303–307 (2014). https://doi.org/10.1007/s13191-014-0361-3

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  • DOI: https://doi.org/10.1007/s13191-014-0361-3

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