Reconstruction of the Occipital and Parietal Congenital Defect with 3D Custom-Made Titanium Prosthesis: A Case Report with Four and a Half Years of Follow-Up and a Brief Review of Literature
Management of patients with congenital skull defects requires a multidisciplinary approach. Considering the defect’s location and size, brain protection, and the cosmetic outcome makes such reconstructions challenging. Due to limited resemblance to skull contour and donor site morbidity of autogenou...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2021/7027701 |
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| author | Farnoush Mohammadi Abbas Azari Nariman Nikparto Heliya Ziaei |
| author_facet | Farnoush Mohammadi Abbas Azari Nariman Nikparto Heliya Ziaei |
| author_sort | Farnoush Mohammadi |
| collection | DOAJ |
| description | Management of patients with congenital skull defects requires a multidisciplinary approach. Considering the defect’s location and size, brain protection, and the cosmetic outcome makes such reconstructions challenging. Due to limited resemblance to skull contour and donor site morbidity of autogenous bone grafts, alloplastic materials are widely used for skull reconstructions. Titanium alloys have proper strength values, low infection rates, favorable osseointegration property, and excellent marginal adaptability when manufactured by computer-aided design (CAD) and computer-aided manufacturing (CAM). A 13-year-old female patient presented with congenital defects at the superior third of occipital bone and posterior thirds of the bilateral parietal bones. On CT scan, the exact size and shape of the defect were determined. Using CAD/CAM, a 3D virtual model of the prosthesis was designed and then printed with titanium alloy (TiAl6V4) via additive manufacturing method. The prosthesis was placed on the defect in a total surgery time of only 90 minutes. On 4.5 years of follow-up, the contour of the skull was ideal and the skin over the defect and neurologic status was intact. Due to their biocompatibility and rigidity, custom-made titanium prostheses are promising options for reconstructing complex skull defects. |
| format | Article |
| id | doaj-art-8f23ad9868204454adf1d53508154f7a |
| institution | Kabale University |
| issn | 2090-6447 2090-6455 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-8f23ad9868204454adf1d53508154f7a2025-02-03T05:43:48ZengWileyCase Reports in Dentistry2090-64472090-64552021-01-01202110.1155/2021/70277017027701Reconstruction of the Occipital and Parietal Congenital Defect with 3D Custom-Made Titanium Prosthesis: A Case Report with Four and a Half Years of Follow-Up and a Brief Review of LiteratureFarnoush Mohammadi0Abbas Azari1Nariman Nikparto2Heliya Ziaei3Department of Oral and Maxillofacial Surgery, School of Dentistry, Tehran University of Medical Sciences, 1439955991, Kargar North St., Tehran, IranDepartment of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, 1439955991, Kargar North St., Tehran, IranDepartment of Oral and Maxillofacial Surgery, School of Dentistry, Tehran University of Medical Sciences, 1439955991, Kargar North St., Tehran, IranSchool of Dentistry, Tehran University of Medical Sciences, 1439955991, Kargar North St., Tehran, IranManagement of patients with congenital skull defects requires a multidisciplinary approach. Considering the defect’s location and size, brain protection, and the cosmetic outcome makes such reconstructions challenging. Due to limited resemblance to skull contour and donor site morbidity of autogenous bone grafts, alloplastic materials are widely used for skull reconstructions. Titanium alloys have proper strength values, low infection rates, favorable osseointegration property, and excellent marginal adaptability when manufactured by computer-aided design (CAD) and computer-aided manufacturing (CAM). A 13-year-old female patient presented with congenital defects at the superior third of occipital bone and posterior thirds of the bilateral parietal bones. On CT scan, the exact size and shape of the defect were determined. Using CAD/CAM, a 3D virtual model of the prosthesis was designed and then printed with titanium alloy (TiAl6V4) via additive manufacturing method. The prosthesis was placed on the defect in a total surgery time of only 90 minutes. On 4.5 years of follow-up, the contour of the skull was ideal and the skin over the defect and neurologic status was intact. Due to their biocompatibility and rigidity, custom-made titanium prostheses are promising options for reconstructing complex skull defects.http://dx.doi.org/10.1155/2021/7027701 |
| spellingShingle | Farnoush Mohammadi Abbas Azari Nariman Nikparto Heliya Ziaei Reconstruction of the Occipital and Parietal Congenital Defect with 3D Custom-Made Titanium Prosthesis: A Case Report with Four and a Half Years of Follow-Up and a Brief Review of Literature Case Reports in Dentistry |
| title | Reconstruction of the Occipital and Parietal Congenital Defect with 3D Custom-Made Titanium Prosthesis: A Case Report with Four and a Half Years of Follow-Up and a Brief Review of Literature |
| title_full | Reconstruction of the Occipital and Parietal Congenital Defect with 3D Custom-Made Titanium Prosthesis: A Case Report with Four and a Half Years of Follow-Up and a Brief Review of Literature |
| title_fullStr | Reconstruction of the Occipital and Parietal Congenital Defect with 3D Custom-Made Titanium Prosthesis: A Case Report with Four and a Half Years of Follow-Up and a Brief Review of Literature |
| title_full_unstemmed | Reconstruction of the Occipital and Parietal Congenital Defect with 3D Custom-Made Titanium Prosthesis: A Case Report with Four and a Half Years of Follow-Up and a Brief Review of Literature |
| title_short | Reconstruction of the Occipital and Parietal Congenital Defect with 3D Custom-Made Titanium Prosthesis: A Case Report with Four and a Half Years of Follow-Up and a Brief Review of Literature |
| title_sort | reconstruction of the occipital and parietal congenital defect with 3d custom made titanium prosthesis a case report with four and a half years of follow up and a brief review of literature |
| url | http://dx.doi.org/10.1155/2021/7027701 |
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