Voluminous fronto-parietal osteomas: Guided resection with patient-specific cutting guides and reconstruction with a 3D printed hydroxyapatite implant

Osteomas are benign, well-differentiated bony tumors characterized by gradual progression, commonly observed within the craniofacial skeleton. This case report aims at describing the successful surgical treatment of giant frontal osteomas thanks to additive manufacturing technologies. The osteomas w...

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Main Authors: Lucille de Bengy-Puyvallée, David Poisbleau, Francois Herman, Elisabeth Cobraiville, Jean-Philippe Giot, Loric Galmard
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Annals of 3D Printed Medicine
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666964125000049
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author Lucille de Bengy-Puyvallée
David Poisbleau
Francois Herman
Elisabeth Cobraiville
Jean-Philippe Giot
Loric Galmard
author_facet Lucille de Bengy-Puyvallée
David Poisbleau
Francois Herman
Elisabeth Cobraiville
Jean-Philippe Giot
Loric Galmard
author_sort Lucille de Bengy-Puyvallée
collection DOAJ
description Osteomas are benign, well-differentiated bony tumors characterized by gradual progression, commonly observed within the craniofacial skeleton. This case report aims at describing the successful surgical treatment of giant frontal osteomas thanks to additive manufacturing technologies. The osteomas were located on the external table of the parietal and frontal bones with complete invasion of the anterior wall of the right frontal sinus. Resection was performed with the help of three 3D printed surgical cutting guides to prevent damaging the inter-sinus septum, the right orbital roof and the posterior wall of the frontal sinus. Anterior frontal sinus wall was reconstructed with a 3D printed hydroxyapatite patient-specific implant called MyBone Custom Implant (MBCI). The 3D planning and accuracy of the additive manufacturing tools enabled to obtain good bone contacts. Ossification of the edges of the MBCI is visible on the six-month postoperative scans. The outcome of this reconstruction proved highly satisfactory both in terms of aesthetic results as well as restoring the bone integrity.
format Article
id doaj-art-132906d410fc4951bca825b27dddb8f1
institution Kabale University
issn 2666-9641
language English
publishDate 2025-02-01
publisher Elsevier
record_format Article
series Annals of 3D Printed Medicine
spelling doaj-art-132906d410fc4951bca825b27dddb8f12025-02-06T05:12:59ZengElsevierAnnals of 3D Printed Medicine2666-96412025-02-0117100189Voluminous fronto-parietal osteomas: Guided resection with patient-specific cutting guides and reconstruction with a 3D printed hydroxyapatite implantLucille de Bengy-Puyvallée0David Poisbleau1Francois Herman2Elisabeth Cobraiville3Jean-Philippe Giot4Loric Galmard5Department of maxillofacial and plastic surgery, CHU Grenoble Alpes, La Tronche, FranceDepartment of maxillofacial and plastic surgery, CHU Grenoble Alpes, La Tronche, FranceCERHUM SA, 4000 Liège, BelgiumCERHUM SA, 4000 Liège, Belgium; GIGA-In Silico Medicine, Biomechanics Research Unit, University of Liège, Belgium; Corresponding author at: Cerhum sa, rue des Pôles 1, 4000 Liège, Belgium.Department of maxillofacial and plastic surgery, CHU Grenoble Alpes, La Tronche, FranceDepartment of maxillofacial and plastic surgery, CHU Grenoble Alpes, La Tronche, France; Corresponding author at: CHU Grenoble, boulevard de la Chantourne, 38700 La Tronche, France.Osteomas are benign, well-differentiated bony tumors characterized by gradual progression, commonly observed within the craniofacial skeleton. This case report aims at describing the successful surgical treatment of giant frontal osteomas thanks to additive manufacturing technologies. The osteomas were located on the external table of the parietal and frontal bones with complete invasion of the anterior wall of the right frontal sinus. Resection was performed with the help of three 3D printed surgical cutting guides to prevent damaging the inter-sinus septum, the right orbital roof and the posterior wall of the frontal sinus. Anterior frontal sinus wall was reconstructed with a 3D printed hydroxyapatite patient-specific implant called MyBone Custom Implant (MBCI). The 3D planning and accuracy of the additive manufacturing tools enabled to obtain good bone contacts. Ossification of the edges of the MBCI is visible on the six-month postoperative scans. The outcome of this reconstruction proved highly satisfactory both in terms of aesthetic results as well as restoring the bone integrity.http://www.sciencedirect.com/science/article/pii/S2666964125000049OsteomaFrontal sinusRegenerative medicineBiomaterial3d printingMaxillofacial surgery
spellingShingle Lucille de Bengy-Puyvallée
David Poisbleau
Francois Herman
Elisabeth Cobraiville
Jean-Philippe Giot
Loric Galmard
Voluminous fronto-parietal osteomas: Guided resection with patient-specific cutting guides and reconstruction with a 3D printed hydroxyapatite implant
Annals of 3D Printed Medicine
Osteoma
Frontal sinus
Regenerative medicine
Biomaterial
3d printing
Maxillofacial surgery
title Voluminous fronto-parietal osteomas: Guided resection with patient-specific cutting guides and reconstruction with a 3D printed hydroxyapatite implant
title_full Voluminous fronto-parietal osteomas: Guided resection with patient-specific cutting guides and reconstruction with a 3D printed hydroxyapatite implant
title_fullStr Voluminous fronto-parietal osteomas: Guided resection with patient-specific cutting guides and reconstruction with a 3D printed hydroxyapatite implant
title_full_unstemmed Voluminous fronto-parietal osteomas: Guided resection with patient-specific cutting guides and reconstruction with a 3D printed hydroxyapatite implant
title_short Voluminous fronto-parietal osteomas: Guided resection with patient-specific cutting guides and reconstruction with a 3D printed hydroxyapatite implant
title_sort voluminous fronto parietal osteomas guided resection with patient specific cutting guides and reconstruction with a 3d printed hydroxyapatite implant
topic Osteoma
Frontal sinus
Regenerative medicine
Biomaterial
3d printing
Maxillofacial surgery
url http://www.sciencedirect.com/science/article/pii/S2666964125000049
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