title: [Reconstruction of the frontal bone with individual titanium implants after surgical therapy of osteomyelitis of the frontal bone].
abstract: Individually prefabricated titanium implants enable the reconstruction of the frontal bone after surgical therapy of osteomyelitis without compromising mechanical stability or aesthetic results. Primarily the infected bone tissue is removed. Helical computed tomographic systems are used for the aquisition of patient data. After being transmitted to a computer aided design system (CAD-system) this data is used for construction of the implant geometry using freeform-surfaces. The outer surface contour is derived from the contours of the bone defect. The completed computer-based implant design is finally transformed into control data to run the milling machine which produces the implant from a block of titanium. Modern industrial CAD/CAM-technology allows standardized prefabrication using data from CT-scans. The precision of all implants was predictable and duration of the reconstructive procedure could be reduced. During postoperative follow-up (5-24 months) no loss of implant or recurrence of the osteomyelitis could be observed.
authors.affiliation: Klinik für Hals-Nasen-Ohren-Heilkunde-Plastische Operationen-, Universität Leipzig, Liebigstrasse 18a, 04103 Leipzig.
authors.forename: M
authors.initials: M
authors.lastname: Bücheler
authors.forename: S
authors.initials: S
authors.lastname: Weihe
authors.forename: H
authors.initials: H
authors.lastname: Eufinger
authors.forename: M
authors.initials: M
authors.lastname: Wehmöller
authors.forename: F
authors.initials: F
authors.lastname: Bootz
mesh_terms: D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D017076:Computer-Aided Design; D005260:Female; D005624:Frontal Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000601:surgery*; D010348:Patient Care Team; D019919:Prosthesis Implantation; D012008:Recurrence; D012086:Reoperation; D014025:Titanium; D014057:Tomography, X-Ray Computed
chemical_list: D014025:Titanium
vernacular_title: Rekonstruktion des Os frontale mit individuellen Titanimplantaten nach chirurgischer Therapie der Stirnbeinosteomyelitis.