Evaluation of locally manufactured patient-specific custom made implants for cranial defects using a silicone mould

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dc.contributor.authorVlok, A. J.en_ZA
dc.contributor.authorNaidoo, S.en_ZA
dc.contributor.authorKamat, A. S.en_ZA
dc.contributor.authorLamprecht, D.en_ZA
dc.date.accessioned2020-03-05T07:19:37Z
dc.date.available2020-03-05T07:19:37Z
dc.date.issued2018
dc.descriptionCITATION: Vlok, A. J. & Naidoo, S. 2018. Evaluation of locally manufactured patient-specific custom made implants for cranial defects using a silicone mould. South African Journal of Surgery, 56(3):38-42, doi:10.17159/2078-5151/2018/v56n3a2521.
dc.descriptionThe original publication is available at http://www.scielo.org.za
dc.description.abstractBackground: Cranial vault defects can pose a significant problem for neurosurgeons where autologous bone is no longer available for cranioplasty. Numerous materials exist to create implants which include polymethyl methacrylate (PMMA) and titanium. A technique using 3-dimensional CT scan reconstruction of a cranial defect and creating a silicon mould which can be autoclaved in theatre to create a PMMA implant was developed. Objectives: The aim of this study is to evaluate the efficacy, cosmetic result, safety and cost-effectiveness of this procedure and compare this to existing techniques. Methods: An ambispective study was performed in patients requiring cranioplasty with a custom made implant. Patients were assessed for risk factors and cosmetic outcome, surgical technique was described and complications and cost compared to existing literature between 2010 and 2016. Results: Thirty retrospective and 30 consecutive prospective patients were recruited into the study. Overall sepsis rate was 8.3%. All septic cases had superficial sepsis of which 2 grafts were removed due to cerebrospinal fluid leakage resulting in wound breakdown. A 100% accurate implant to defect ratio was achieved leading to a high satisfaction rate. Average cost was 5 times cheaper than the closest market related product. Conclusion: Patient specific moulds using PMMA to create custom implants are safe, have excellent cosmetic results and are a very cost-effective option to manage cranial defects. Accurate planning strategies for large craniotomies, where bone will potentially be discarded, add to surgical effectiveness and cost-saving to the patient.en_ZA
dc.description.urihttp://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0038-23612018000300007&lng=es&nrm=iso
dc.description.versionPublishers version
dc.format.extent5 pages : illustrationsen_ZA
dc.identifier.citationVlok, A. J. & Naidoo, S. 2018. Evaluation of locally manufactured patient-specific custom made implants for cranial defects using a silicone mould. South African Journal of Surgery, 56(3):38-42, doi:10.17159/2078-5151/2018/v56n3a2521
dc.identifier.issn2078-5151 (online)
dc.identifier.issn0038-2361 (print)
dc.identifier.otherdoi:10.17159/2078-5151/2018/v56n3a2521
dc.identifier.urihttp://hdl.handle.net/10019.1/107583
dc.language.isoen_ZAen_ZA
dc.publisherHealth and Medical Publishing Group
dc.rights.holderAuthors retain copyright
dc.subjectCranial defectsen_ZA
dc.subjectNeurosurgeonsen_ZA
dc.subjectCranial manipulationen_ZA
dc.subjectImplants, Artificialen_ZA
dc.subjectSilicones in surgeryen_ZA
dc.titleEvaluation of locally manufactured patient-specific custom made implants for cranial defects using a silicone moulden_ZA
dc.typeArticleen_ZA
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