The use of cranial resection templates with 3D virtual planning and PEEK patient-specific implants: A 3 year follow-up

S. E.C.M. van de Vijfeijken*, R. Schreurs, L. Dubois, A. G. Becking, L. H.E. Karssemakers, D. M.J. Milstein, P. R.A.M. Depauw, F. W.A. Hoefnagels, W. P. Vandertop, C. J. Kleverlaan, T. J.A.G. Münker, T. J.J. Maal, E. Nout, M. Riool, S. A.J. Zaat, CranioSafe Group

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Purpose: The aim of this study was to evaluate the accuracy of resection templates in cranioplasties in order to facilitate a one-stage resection and cranial reconstruction. Patients and methods: In three cases, cranial resections were combined with direct reconstructions using the principles of computer-aided design, manufacturing, and surgery. The precision of the resection template was evaluated through a distance map, comparing the planned and final result. Results: The mean absolute difference between the planned and actual reconstructed contour was less than 1.0 mm. After 3 years, no clinical signs of infection or rejection of the implants were present. The computed tomography scans showed no irregularities, and the aesthetic results remained satisfactory. Conclusion: One-stage resection and cranial reconstruction using a resection template, control template, and a prefabricated patient-specific implant of poly(ether-ether-ketone) (PEEK) proved to be a viable and safe method.

Original languageEnglish
Pages (from-to)542-547
Number of pages6
JournalJournal of Cranio-Maxillofacial Surgery
Volume47
Issue number4
DOIs
Publication statusPublished - 1 Apr 2019

Cite this

van de Vijfeijken, S. E. C. M., Schreurs, R., Dubois, L., Becking, A. G., Karssemakers, L. H. E., Milstein, D. M. J., ... CranioSafe Group (2019). The use of cranial resection templates with 3D virtual planning and PEEK patient-specific implants: A 3 year follow-up. Journal of Cranio-Maxillofacial Surgery, 47(4), 542-547. https://doi.org/10.1016/j.jcms.2018.07.012