Reconstruction of the temporal contour for traumatic tissue loss using a CAD/CAM-prefabricated titanium implant-case report.
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.
Scholz
Martin
M
Department of Neurosurgery, Ruhr-University Bochum, Bochum, Germany.
Wehmöller
Michael
M
Lehmbrock
Jutta
J
Schmieder
Kirsten
K
Engelhardt
Martin
M
Harders
Albrecht
A
Eufinger
Harald
H
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
D014025:Titanium