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


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
Issue number4
Publication statusPublished - 1 Apr 2019

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