Skull Repair after Major Crush Injury

Reconstructive surgery after trauma of the head and neck is a wide field in ENT surgery. The repair of bony defects often requires implantation of engineered prostheses. We present the case of a 48-year-old male patient who had suffered a major crush injury to his head resulting in a complex bony de...

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Main Authors: H. Sudhoff, H. J. Hoff, M. Lehmann
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2011/749250
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author H. Sudhoff
H. J. Hoff
M. Lehmann
author_facet H. Sudhoff
H. J. Hoff
M. Lehmann
author_sort H. Sudhoff
collection DOAJ
description Reconstructive surgery after trauma of the head and neck is a wide field in ENT surgery. The repair of bony defects often requires implantation of engineered prostheses. We present the case of a 48-year-old male patient who had suffered a major crush injury to his head resulting in a complex bony defect. A computer-assisted designed (CAD/CAM) Titanium implant was used for reconstruction. Direct prefabrication of the individually designed implant led to an excellent coverage of the bony defect and easy adaptation to the defect margins. Results. Treatment plan and surgery as well as implant design and manufacturing were performed in a multidisciplinary team. Skin expander implantation prior to reconstructive surgery ensured a tension-free closure. This team approach led to a satisfactory outcome for this patient. This case illustrates the necessity of a multidisciplinary approach for the optimum management of complex head and neck injuries.
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spelling doaj-art-ce68d16fc9dc465ba83cd848bf3ed5422025-02-03T05:58:29ZengWileyCase Reports in Otolaryngology2090-67652090-67732011-01-01201110.1155/2011/749250749250Skull Repair after Major Crush InjuryH. Sudhoff0H. J. Hoff1M. Lehmann2Department of Otolaryngology, Head and Neck Surgery, Klinikum Bielefeld, Academic Teaching Hospital University of Münster, Münster University, Teutoburger Street 50, 33604 Bielefeld, GermanyDepartment of Neurosurgery, Evangelisches Krankenhaus Bielefeld, 33604 Bielefeld, GermanyDepartment of Otolaryngology, Head and Neck Surgery, Klinikum Bielefeld, Academic Teaching Hospital University of Münster, Münster University, Teutoburger Street 50, 33604 Bielefeld, GermanyReconstructive surgery after trauma of the head and neck is a wide field in ENT surgery. The repair of bony defects often requires implantation of engineered prostheses. We present the case of a 48-year-old male patient who had suffered a major crush injury to his head resulting in a complex bony defect. A computer-assisted designed (CAD/CAM) Titanium implant was used for reconstruction. Direct prefabrication of the individually designed implant led to an excellent coverage of the bony defect and easy adaptation to the defect margins. Results. Treatment plan and surgery as well as implant design and manufacturing were performed in a multidisciplinary team. Skin expander implantation prior to reconstructive surgery ensured a tension-free closure. This team approach led to a satisfactory outcome for this patient. This case illustrates the necessity of a multidisciplinary approach for the optimum management of complex head and neck injuries.http://dx.doi.org/10.1155/2011/749250
spellingShingle H. Sudhoff
H. J. Hoff
M. Lehmann
Skull Repair after Major Crush Injury
Case Reports in Otolaryngology
title Skull Repair after Major Crush Injury
title_full Skull Repair after Major Crush Injury
title_fullStr Skull Repair after Major Crush Injury
title_full_unstemmed Skull Repair after Major Crush Injury
title_short Skull Repair after Major Crush Injury
title_sort skull repair after major crush injury
url http://dx.doi.org/10.1155/2011/749250
work_keys_str_mv AT hsudhoff skullrepairaftermajorcrushinjury
AT hjhoff skullrepairaftermajorcrushinjury
AT mlehmann skullrepairaftermajorcrushinjury