{"id":"2fd38c77-d481-46ce-8548-1cd40de9f905","slug":"three-dimensional-custom-made-peek-cranioplasty","title":"Three dimensional custom-made PEEK cranioplasty","authors":["Ahmed Hosameldin","Ashraf Osman","Mohamed Hussein","Amr Fathy Gomaa","Mostafa Abdellatif"],"abstract":"Background: An optimal reconstruction of calvarial skull defects is a challenge for neurosurgeons, and the strategy used to achieve the best result remains debatable. Therefore, we conducted this study to compare the esthetic and functional outcome of custom-made three-dimensional (3D) cranioprostheses to handmade bone cement in reconstructing calvarial skull defects. Methods: We included 66 patients above 10 years of age with calvarial skull defects and undergoing reconstruction: 33 were enrolled in the custom-made 3D implants group and 33 in the handmade implants group in the period from August 2017 to December 2020 in the neurosurgery department of Fayoum University Hospital. Results: Complete success of the esthetic end-point was insignificantly higher in the custom-made 3D prostheses group based on the doctor’s and patients’ assessment (60.6% vs. 42.4%; 33.3% vs. 9.1%, P > 0.05), respectively. Complete success of the functional end-point was significantly higher in the custom-made 3D group compared to the handmade cement bone group according to the doctor’s and patients’ assessment (60.6% vs. 0%; 21.2% vs. 0%, P P < 0.05). Full improvement of the symptoms of the “syndrome of trephined” was achieved in the 3D custom-made group compared to the handmade bone cement group (20% vs. 0%). Conclusion: Cranioplasty using three dimensional customs made PEEK prosthesis is a reliable method which saves operative time, lowers cost and provides less complications if compared with other cranioplasty techniques. Custom-made 3D cranioprostheses are better than handmade bone cement in reconstructing calvarial defects in terms of esthetic and functional outcome as well as complications.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/2fd38c77-d481-46ce-8548-1cd40de9f905/featured/hero-cropped-1781561806311.jpg","publishDate":"2021-11-30T00:00:00.000Z","doi":"10.25259/SNI_861_2021","categories":["Trauma","Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2021/11/11254/SNI-12-587.pdf"}