Reconstruction of the skullcap with PMMA prototyped implant after decompressive craniectomy.

Detalhes bibliográficos
Autor(a) principal: C. Campolina, Ana
Data de Publicação: 2020
Outros Autores: Maricevich, Pablo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Brazilian Journal of Implantology and Health Sciences
Texto Completo: https://bjihs.emnuvens.com.br/bjihs/article/view/25
Resumo: INTRODUCTION: Decompressive craniectomy is indicated for the treatment of intracranial hypertension in cases of serious traumatic brain injury. This surgery results in a bizarre appearance, as if "part of the head" had been. After regression of cerebral edema and when the patient is in good clinical condition, the reconstruction of the skull is indicated. Reconstruction of the skull can be performed with autologous bone or with alloplastic materials. This study sought to present the experience of the author with skull reconstructions using custom PMMA prostheses. METHODS: In between 2014 and 2015, fourteen patients with previous (longer than 6 months) decompressive craniectomies were selected after Neurosurgery medical clearance and underwent skull reconstruction with customized PMMA prototyped prostheses. Signs and symptoms of syndrome of the trephined, computed tomography, and aesthetic appearance of the patients were analyzed preoperatively and at 6 months after reconstruction. RESULTS: All patients presented with improved symptomatology, aesthetic improvement and expansion of the brain after surgery. CONCLUSION: Reconstruction of the skull with customized prototyped PMMA prostheses improved the signs and symptoms and the aesthetic appearance in all 14 patients of this series. The use of prototypes to customize cranial prostheses facilitates the operative technique and enables patients to develop a nearly normal cranial contour.
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spelling Reconstruction of the skullcap with PMMA prototyped implant after decompressive craniectomy.Reconstruction of the skullcap with PMMA prototyped implant after decompressive craniectomy.PMMAIntracranial hypertensionDecompressive craniectomyCraniocerebral injuriesProstheses and implantsAestheticsINTRODUCTION: Decompressive craniectomy is indicated for the treatment of intracranial hypertension in cases of serious traumatic brain injury. This surgery results in a bizarre appearance, as if "part of the head" had been. After regression of cerebral edema and when the patient is in good clinical condition, the reconstruction of the skull is indicated. Reconstruction of the skull can be performed with autologous bone or with alloplastic materials. This study sought to present the experience of the author with skull reconstructions using custom PMMA prostheses. METHODS: In between 2014 and 2015, fourteen patients with previous (longer than 6 months) decompressive craniectomies were selected after Neurosurgery medical clearance and underwent skull reconstruction with customized PMMA prototyped prostheses. Signs and symptoms of syndrome of the trephined, computed tomography, and aesthetic appearance of the patients were analyzed preoperatively and at 6 months after reconstruction. RESULTS: All patients presented with improved symptomatology, aesthetic improvement and expansion of the brain after surgery. CONCLUSION: Reconstruction of the skull with customized prototyped PMMA prostheses improved the signs and symptoms and the aesthetic appearance in all 14 patients of this series. The use of prototypes to customize cranial prostheses facilitates the operative technique and enables patients to develop a nearly normal cranial contour.INTRODUCTION: Decompressive craniectomy is indicated for the treatment of intracranial hypertension in cases of serious traumatic brain injury. This surgery results in a bizarre appearance, as if "part of the head" had been. After regression of cerebral edema and when the patient is in good clinical condition, the reconstruction of the skull is indicated. Reconstruction of the skull can be performed with autologous bone or with alloplastic materials. This study sought to present the experience of the author with skull reconstructions using custom PMMA prostheses. METHODS: In between 2014 and 2015, fourteen patients with previous (longer than 6 months) decompressive craniectomies were selected after Neurosurgery medical clearance and underwent skull reconstruction with customized PMMA prototyped prostheses. Signs and symptoms of syndrome of the trephined, computed tomography, and aesthetic appearance of the patients were analyzed preoperatively and at 6 months after reconstruction. RESULTS: All patients presented with improved symptomatology, aesthetic improvement and expansion of the brain after surgery. CONCLUSION: Reconstruction of the skull with customized prototyped PMMA prostheses improved the signs and symptoms and the aesthetic appearance in all 14 patients of this series. The use of prototypes to customize cranial prostheses facilitates the operative technique and enables patients to develop a nearly normal cranial contour.Specialized Dentistry Group2020-01-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://bjihs.emnuvens.com.br/bjihs/article/view/2510.36557/2674-8169.2020v2n1p1-19Brazilian Journal of Implantology and Health Sciences ; Vol. 2 No. 1 (2020): January ; 1-19Brazilian Journal of Implantology and Health Sciences ; Vol. 2 Núm. 1 (2020): Janeiro; 1-19Brazilian Journal of Implantology and Health Sciences ; v. 2 n. 1 (2020): Janeiro; 1-192674-8169reponame:Brazilian Journal of Implantology and Health Sciencesinstname:Grupo de Odontologia Especializada (GOE)instacron:GOEenghttps://bjihs.emnuvens.com.br/bjihs/article/view/25/40Copyright (c) 2020 Brazilian Journal of Implantology and Health Scienceshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessC. Campolina, Ana Maricevich, Pablo2020-09-10T19:35:15Zoai:ojs.bjihs.emnuvens.com.br:article/25Revistahttps://bjihs.emnuvens.com.br/bjihsONGhttps://bjihs.emnuvens.com.br/bjihs/oaijournal.bjihs@periodicosbrasil.com.br2674-81692674-8169opendoar:2020-09-10T19:35:15Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)false
dc.title.none.fl_str_mv Reconstruction of the skullcap with PMMA prototyped implant after decompressive craniectomy.
Reconstruction of the skullcap with PMMA prototyped implant after decompressive craniectomy.
title Reconstruction of the skullcap with PMMA prototyped implant after decompressive craniectomy.
spellingShingle Reconstruction of the skullcap with PMMA prototyped implant after decompressive craniectomy.
C. Campolina, Ana
PMMA
Intracranial hypertension
Decompressive craniectomy
Craniocerebral injuries
Prostheses and implants
Aesthetics
title_short Reconstruction of the skullcap with PMMA prototyped implant after decompressive craniectomy.
title_full Reconstruction of the skullcap with PMMA prototyped implant after decompressive craniectomy.
title_fullStr Reconstruction of the skullcap with PMMA prototyped implant after decompressive craniectomy.
title_full_unstemmed Reconstruction of the skullcap with PMMA prototyped implant after decompressive craniectomy.
title_sort Reconstruction of the skullcap with PMMA prototyped implant after decompressive craniectomy.
author C. Campolina, Ana
author_facet C. Campolina, Ana
Maricevich, Pablo
author_role author
author2 Maricevich, Pablo
author2_role author
dc.contributor.author.fl_str_mv C. Campolina, Ana
Maricevich, Pablo
dc.subject.por.fl_str_mv PMMA
Intracranial hypertension
Decompressive craniectomy
Craniocerebral injuries
Prostheses and implants
Aesthetics
topic PMMA
Intracranial hypertension
Decompressive craniectomy
Craniocerebral injuries
Prostheses and implants
Aesthetics
description INTRODUCTION: Decompressive craniectomy is indicated for the treatment of intracranial hypertension in cases of serious traumatic brain injury. This surgery results in a bizarre appearance, as if "part of the head" had been. After regression of cerebral edema and when the patient is in good clinical condition, the reconstruction of the skull is indicated. Reconstruction of the skull can be performed with autologous bone or with alloplastic materials. This study sought to present the experience of the author with skull reconstructions using custom PMMA prostheses. METHODS: In between 2014 and 2015, fourteen patients with previous (longer than 6 months) decompressive craniectomies were selected after Neurosurgery medical clearance and underwent skull reconstruction with customized PMMA prototyped prostheses. Signs and symptoms of syndrome of the trephined, computed tomography, and aesthetic appearance of the patients were analyzed preoperatively and at 6 months after reconstruction. RESULTS: All patients presented with improved symptomatology, aesthetic improvement and expansion of the brain after surgery. CONCLUSION: Reconstruction of the skull with customized prototyped PMMA prostheses improved the signs and symptoms and the aesthetic appearance in all 14 patients of this series. The use of prototypes to customize cranial prostheses facilitates the operative technique and enables patients to develop a nearly normal cranial contour.
publishDate 2020
dc.date.none.fl_str_mv 2020-01-12
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://bjihs.emnuvens.com.br/bjihs/article/view/25
10.36557/2674-8169.2020v2n1p1-19
url https://bjihs.emnuvens.com.br/bjihs/article/view/25
identifier_str_mv 10.36557/2674-8169.2020v2n1p1-19
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://bjihs.emnuvens.com.br/bjihs/article/view/25/40
dc.rights.driver.fl_str_mv Copyright (c) 2020 Brazilian Journal of Implantology and Health Sciences
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2020 Brazilian Journal of Implantology and Health Sciences
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Specialized Dentistry Group
publisher.none.fl_str_mv Specialized Dentistry Group
dc.source.none.fl_str_mv Brazilian Journal of Implantology and Health Sciences ; Vol. 2 No. 1 (2020): January ; 1-19
Brazilian Journal of Implantology and Health Sciences ; Vol. 2 Núm. 1 (2020): Janeiro; 1-19
Brazilian Journal of Implantology and Health Sciences ; v. 2 n. 1 (2020): Janeiro; 1-19
2674-8169
reponame:Brazilian Journal of Implantology and Health Sciences
instname:Grupo de Odontologia Especializada (GOE)
instacron:GOE
instname_str Grupo de Odontologia Especializada (GOE)
instacron_str GOE
institution GOE
reponame_str Brazilian Journal of Implantology and Health Sciences
collection Brazilian Journal of Implantology and Health Sciences
repository.name.fl_str_mv Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)
repository.mail.fl_str_mv journal.bjihs@periodicosbrasil.com.br
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