Article ; Online: Customised pre-operative cranioplasty to achieve maximal surgical resection of tumours with osseous involvement-a case series.
2024 Volume 166, Issue 1, Page(s) 152
Abstract: Purpose: Surgical resection with bony margins would be the treatment of choice for tumours with osseous involvement such as meningiomas and metastasis. By developing and designing pre-operative customised 3D modelled implants, the patient can undergo ... ...
| Abstract | Purpose: Surgical resection with bony margins would be the treatment of choice for tumours with osseous involvement such as meningiomas and metastasis. By developing and designing pre-operative customised 3D modelled implants, the patient can undergo resection of meningioma and repair of bone defect in the same operation. We present a generalisable method for designing pre-operative cranioplasty in patients to repair the bone defect after the resection of tumours. Materials and methods: We included six patients who presented with a tumour that was associated with overlying bone involvement. They underwent placement of customised cranioplasty in the same setting. A customised implant using a pre-operative imaging was designed with a 2-cm margin to allow for any intra-operative requirements for extending the craniectomy. Results: Six patients were evaluated in this case series. Four patients had meningiomas, 1 patient had metastatic breast cancer on final histology, and 1 patient was found to have an intra-osseous arteriovenous malformation. Craniectomy based on margins provided by a cutting guide was fashioned. After tumour removal and haemostasis, the cranioplasty was then placed. All patients recovered well post-operatively with satisfactory cosmetic results. No wound infection was reported in our series. Conclusion: Our series demonstrate the feasibility of utilising pre-designed cranioplasty for meningiomas and other tumours with osseous involvement. Following strict infection protocols, minimal intra-operative handling/modification of the implant, and close follow-up has resulted in good cosmetic outcomes with no implant-related infections. |
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| MeSH term(s) | Humans ; Plastic Surgery Procedures ; Meningioma/surgery ; Decompressive Craniectomy/methods ; Skull/surgery ; Postoperative Complications/surgery ; Meningeal Neoplasms/surgery ; Retrospective Studies |
| Language | English |
| Publishing date | 2024-03-27 |
| Publishing country | Austria |
| Document type | Journal Article |
| ZDB-ID | 80010-7 |
| ISSN | 0942-0940 ; 0001-6268 |
| ISSN (online) | 0942-0940 |
| ISSN | 0001-6268 |
| DOI | 10.1007/s00701-024-06055-5 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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