title: Reconstruction of the temporal contour for traumatic tissue loss using a CAD/CAM-prefabricated titanium implant-case report.
abstract: BACKGROUND
  A 16-year-old Arab boy had suffered from a severe head injury including an intracranial haematoma. Despite replantation of the bone flap later on, the cosmetic result was very unfavourable due to partial resorption of the reinserted bone and atrophy of the right temporalis muscle.
  
  
  OBJECTIVE
  For contour reconstruction of both soft and hard tissues the boy was transferred from Saudi Arabia.
  
  
  METHODS
  A spiral CT was obtained and the contour was reconstructed using a new algorithm for surface generation.
  
  
  RESULTS
  The resulting titanium implant was inserted without complications or the need for revision. The cosmetic result was good and corresponded to the preoperative digital planning.
  
  
  CONCLUSIONS
  Techniques of computer-assisted implant prefabrication and surgery may include special algorithms for considering soft tissues including contour deficits of the temporalis muscle.
authors.affiliation: Department of Neurosurgery, Ruhr-University Bochum, Bochum, Germany.
authors.forename: Martin
authors.initials: M
authors.lastname: Scholz
authors.forename: Michael
authors.initials: M
authors.lastname: Wehmöller
authors.forename: Jutta
authors.initials: J
authors.lastname: Lehmbrock
authors.forename: Kirsten
authors.initials: K
authors.lastname: Schmieder
authors.forename: Martin
authors.initials: M
authors.lastname: Engelhardt
authors.forename: Albrecht
authors.initials: A
authors.lastname: Harders
authors.forename: Harald
authors.initials: H
authors.lastname: Eufinger
mesh_terms: D000293:Adolescent; D001929:Brain Edema / Q000601:surgery; D017076:Computer-Aided Design; D006259:Craniocerebral Trauma / Q000601:surgery; D003399:Craniotomy; D019299:Decompression, Surgical; D004954:Esthetics; D006801:Humans; D021621:Imaging, Three-Dimensional; D020198:Intracranial Hemorrhage, Traumatic / Q000601:surgery; D008297:Male; D011474:Prosthesis Design; D019919:Prosthesis Implantation; D019651:Plastic Surgery Procedures / Q000379:methods*; D013701:Temporal Bone / Q000293:injuries / Q000601:surgery*; D013703:Temporal Muscle / Q000293:injuries / Q000601:surgery*; D014025:Titanium; D036542:Tomography, Spiral Computed
chemical_list: D014025:Titanium