Customized acrylic implants for reconstruction of extensive skull defects: an exception approach for selected patients
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Colégio Brasileiro de Cirurgiões |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912017000200154 |
Resumo: | ABSTRACT Objective: to present our experience in the surgical treatment of extensive skullcap defects with customized acrylic implants. Methods: we conducted a retrospective analysis of patients with extensive skull defects undergoing acrylic cranioplasties between 2004 and 2013. We carefully selected all patients and classified surgical results based on three scales (craniofacial esthetics, improvement of facial symmetry and need for additional surgery). Results: fifteen patients underwent cranioplasty with intraoperative acrylic implants, whether manually customized (46.67%) or made with prototyped three-dimensional biomodels (53.33%). There were two (13.33%) complications (one infection with implant withdrawal and one seroma). We considered the craniofacial aesthetics excellent (50%), the degree of improvement of craniofacial symmetry satisfactory (57.14%), and the overall mean of surgical results according to the need for new surgeries was 1.5±0.52. Conclusion: cranioplasties of patients with extensive skullcap defects should obey careful and predetermined criteria, both for selection and for the acrylic implant customization method. |
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Revista do Colégio Brasileiro de Cirurgiões |
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Customized acrylic implants for reconstruction of extensive skull defects: an exception approach for selected patientsCraniofacial Abnormalities. Acrylic Resins. SurgeryPlasticABSTRACT Objective: to present our experience in the surgical treatment of extensive skullcap defects with customized acrylic implants. Methods: we conducted a retrospective analysis of patients with extensive skull defects undergoing acrylic cranioplasties between 2004 and 2013. We carefully selected all patients and classified surgical results based on three scales (craniofacial esthetics, improvement of facial symmetry and need for additional surgery). Results: fifteen patients underwent cranioplasty with intraoperative acrylic implants, whether manually customized (46.67%) or made with prototyped three-dimensional biomodels (53.33%). There were two (13.33%) complications (one infection with implant withdrawal and one seroma). We considered the craniofacial aesthetics excellent (50%), the degree of improvement of craniofacial symmetry satisfactory (57.14%), and the overall mean of surgical results according to the need for new surgeries was 1.5±0.52. Conclusion: cranioplasties of patients with extensive skullcap defects should obey careful and predetermined criteria, both for selection and for the acrylic implant customization method.Colégio Brasileiro de Cirurgiões2017-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912017000200154Revista do Colégio Brasileiro de Cirurgiões v.44 n.2 2017reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-69912017002008info:eu-repo/semantics/openAccessSILVA,RAFAEL DENADAI PIGOZZI DARAPOSO-AMARAL,CESAR AUGUSTOGUIDI,MARCELO CAMPOSRAPOSO-AMARAL,CASSIO EDUARDOBUZZO,CELSO LUIZeng2018-08-30T00:00:00Zoai:scielo:S0100-69912017000200154Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2018-08-30T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false |
dc.title.none.fl_str_mv |
Customized acrylic implants for reconstruction of extensive skull defects: an exception approach for selected patients |
title |
Customized acrylic implants for reconstruction of extensive skull defects: an exception approach for selected patients |
spellingShingle |
Customized acrylic implants for reconstruction of extensive skull defects: an exception approach for selected patients SILVA,RAFAEL DENADAI PIGOZZI DA Craniofacial Abnormalities. Acrylic Resins. Surgery Plastic |
title_short |
Customized acrylic implants for reconstruction of extensive skull defects: an exception approach for selected patients |
title_full |
Customized acrylic implants for reconstruction of extensive skull defects: an exception approach for selected patients |
title_fullStr |
Customized acrylic implants for reconstruction of extensive skull defects: an exception approach for selected patients |
title_full_unstemmed |
Customized acrylic implants for reconstruction of extensive skull defects: an exception approach for selected patients |
title_sort |
Customized acrylic implants for reconstruction of extensive skull defects: an exception approach for selected patients |
author |
SILVA,RAFAEL DENADAI PIGOZZI DA |
author_facet |
SILVA,RAFAEL DENADAI PIGOZZI DA RAPOSO-AMARAL,CESAR AUGUSTO GUIDI,MARCELO CAMPOS RAPOSO-AMARAL,CASSIO EDUARDO BUZZO,CELSO LUIZ |
author_role |
author |
author2 |
RAPOSO-AMARAL,CESAR AUGUSTO GUIDI,MARCELO CAMPOS RAPOSO-AMARAL,CASSIO EDUARDO BUZZO,CELSO LUIZ |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
SILVA,RAFAEL DENADAI PIGOZZI DA RAPOSO-AMARAL,CESAR AUGUSTO GUIDI,MARCELO CAMPOS RAPOSO-AMARAL,CASSIO EDUARDO BUZZO,CELSO LUIZ |
dc.subject.por.fl_str_mv |
Craniofacial Abnormalities. Acrylic Resins. Surgery Plastic |
topic |
Craniofacial Abnormalities. Acrylic Resins. Surgery Plastic |
description |
ABSTRACT Objective: to present our experience in the surgical treatment of extensive skullcap defects with customized acrylic implants. Methods: we conducted a retrospective analysis of patients with extensive skull defects undergoing acrylic cranioplasties between 2004 and 2013. We carefully selected all patients and classified surgical results based on three scales (craniofacial esthetics, improvement of facial symmetry and need for additional surgery). Results: fifteen patients underwent cranioplasty with intraoperative acrylic implants, whether manually customized (46.67%) or made with prototyped three-dimensional biomodels (53.33%). There were two (13.33%) complications (one infection with implant withdrawal and one seroma). We considered the craniofacial aesthetics excellent (50%), the degree of improvement of craniofacial symmetry satisfactory (57.14%), and the overall mean of surgical results according to the need for new surgeries was 1.5±0.52. Conclusion: cranioplasties of patients with extensive skullcap defects should obey careful and predetermined criteria, both for selection and for the acrylic implant customization method. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912017000200154 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912017000200154 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0100-69912017002008 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
dc.source.none.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões v.44 n.2 2017 reponame:Revista do Colégio Brasileiro de Cirurgiões instname:Colégio Brasileiro de Cirurgiões (CBC) instacron:CBC |
instname_str |
Colégio Brasileiro de Cirurgiões (CBC) |
instacron_str |
CBC |
institution |
CBC |
reponame_str |
Revista do Colégio Brasileiro de Cirurgiões |
collection |
Revista do Colégio Brasileiro de Cirurgiões |
repository.name.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC) |
repository.mail.fl_str_mv |
||revistacbc@cbc.org.br |
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1754209213650829312 |