Construction of titanium cranioplasty plate using craniectomy bone flap as template.
In recent times a steady rise in cranioplasty operations has been noted because of increasing utilisation of decompressive craniectomy for trauma as well as stroke patients. A variety of techniques have been utilised for cranioplasty, with their own benefits and limitations. Titanium cranioplasty is one of the well-established and widely used techniques, with most centres utilising computer-assisted reconstruction for manufacture of titanium plates. In this paper we present a novel method for making titanium cranioplasty plates using the craniectomy bone flap as a template and the results of our experience. To date we have performed 51 cranioplasties using this method. The surgical results have been comparable to those obtained using the computer-assisted model technique. The construction cost for titanium cranioplasty plates using this method has been pound 360 cheaper per plate compared with the computer-assisted method. In addition, the CT workload and radiation exposure have been reduced.
Bhargava
D
D
Department of Neurosurgery, Leeds General Infirmary, Leeds, LS1 3EX, UK. deeptibhargava7@gmail.com
Bartlett
P
P
Russell
J
J
Liddington
M
M
Tyagi
A
A
Chumas
P
P
D001860:Bone Plates; D001842:Bone and Bones; D003399:Craniotomy; D006801:Humans; D011474:Prosthesis Design; D019651:Plastic Surgery Procedures / Q000295:instrumentation*; D012886:Skull / Q000601:surgery*; D013524:Surgical Flaps; D014025:Titanium
D014025:Titanium