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CUSTOM CRANIAL IMPLANTS FOR DECOMPRESSIVE CRANIECTOMY DEFECTS. - PowerPoint PPT Presentation


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CUSTOM CRANIAL IMPLANTS FOR DECOMPRESSIVE CRANIECTOMY DEFECTS. DR.RAVINDRA SRIVASTAVA, MCh (Neurosurgery)AIIMS. SENIOR CONSULTANT NEUROSURGEON & SPINE SURGEON. VIMHANS,NEW DELHI . CASE STUDY.

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custom cranial implants for decompressive craniectomy defects

CUSTOM CRANIAL IMPLANTS FOR DECOMPRESSIVE CRANIECTOMY DEFECTS.

DR.RAVINDRA SRIVASTAVA, MCh (Neurosurgery)AIIMS.

SENIOR CONSULTANT NEUROSURGEON & SPINE SURGEON.

VIMHANS,NEW DELHI.

case study
CASE STUDY

A 17 year old male underwent emergency Rt. Sided FTP decompressivecraniectomy to relieve intracranial pressure following a closed head injury sustained during a motor vehicle accident.

custom cranial implants
CUSTOM CRANIAL IMPLANTS.

Some months later, as the patients condition improved and patient became fully conscious,

I decided that CUSTOM CRANIOPLASTIC IMPLANT from ANATOMICS would best correct the huge cranial defect. This would restore his cranial contour and provide protection for his brain for the rest of his life.

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slide5

LARGE DEFECT

PREOPERATIVE CT SCAN OF PT. WITH LARGE DECOMPRESSIVE DEFECT.

procedure
PROCEDURE

The 2D CT scan and the 3D image rendered using AnatomicsPro software demostrated the extent of the cranial defects.

A BioModel was created and then used to create the custom acrylic implant.

surgery
SURGERY

The overlying scalp was then removed from the patients dura,and the edges of the craniotomy defect was identified.

The Anatomic implant was then inserted over the defect ,requiring no modification of either the bone or the implant.

The implant was secured to the skull around the defect margin using titanium mini-plates and screws .

slide13

POST-OPERATIVE CT OF PATIENT WITH ACRYLIC IMPLANT.

benefits of preformed acrylic implant
BENEFITS OF PREFORMED ACRYLIC IMPLANT

Clear vision through the implant-with glass like appearance, the Acrylic implant allows the surgeon to see if there is a collection of fluid or a haematoma forming in the extradural space.

Ready to use- no need for cutting, shaping or mixing during surgery.

Eliminates risk of monomer release and damage of dural and sub-dural tissues.