1. Patient-specific biodegradable implant in pediatric craniofacial surgery.
- Author
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Essig, H., Lindhorst, D., Gander, T., Schumann, P., Könü, D., Altermatt, S., and Rücker, M.
- Subjects
BIOABSORBABLE implants ,CRANIAL manipulation ,CRANIOSYNOSTOSES ,INTRAOPERATIVE monitoring ,TISSUE fixation (Histology) - Abstract
Surgical correction of premature fusion of calvarial sutures involving the fronto-orbital region can be challenging due to the demanding three-dimensional (3D) anatomy. If fronto-orbital advancement (FOA) is necessary, surgery is typically performed using resorbable plates and screws that are bent manually intraoperatively. A new approach using individually manufactured resorbable implants (KLS Martin Group, Tuttlingen, Germany) is presented in the current paper. Preoperative CT scan data were processed in iPlan (ver. 3.0.5; Brainlab, Feldkirchen, Germany) to generate a 3D reconstruction. Virtual osteotomies and simulation of the ideal outer contour with reassembled bony segments were performed. Digital planning was transferred with a cutting guide, and an individually manufactured resorbable implant was used for rigid fixation. A resorbable patient-specific implant (Resorb X-PSI) allows precise surgery for FOA in craniosynostosis using a complete digital workflow and should be considered superior to manually bent resorbable plates. [ABSTRACT FROM AUTHOR]
- Published
- 2017
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