PATIENT SPECIFIC IMPLANT DESIGN AND PRODUCTION FOR CLOSURE OF SKULL DEFECTS

Burak Oguzhan Savaser; Osman Erogul Osman Erogul

Araştırma Makalesi

PATIENT SPECIFIC IMPLANT DESIGN AND PRODUCTION FOR CLOSURE OF SKULL DEFECTS

Yıl 2017, Sayı: 1, 22 - 29, 09.11.2017

Burak Oguzhan Savaser Osman Erogul Osman Erogul

Öz

In order to provide a function on the body, implant as
defined organic and inorganic substance that is placed in an appropriate place,
means that the type of material to be placed within the body in medicine.
Considering the concept called as a prosthesis that completing artificially any
part of the body that is lost and helping heal, for the purposes mentioned,
artificial prosthesis structures such as joint prosthesis used in orthopedic
surgery, placed in tissue, skull implant prosthesis that are used in brain
surgery. The biggest advantages of implant prosthesis compared with other
conservative treatment methods are much more robust, comfortable, and reliable.
In many countries, due to traffic accidents and terror attacks, brain injuries
and damages are frequently observed. Because of that sort of situation, in the
process of treatment, such as brain trauma, skull implants are needed. All
implants that are used for surgical purposes must also be sterile. Depending on
technological developments, according to the needs, there are various implant
manufacturing machines, software programs and hardware. In this study, it is
intended to design and develop Cranial Implant Prosthesis to be used for
closure of skull defects and implementation to the selected patients. For this
purpose, CT images of patients are used. MIMICS software and surgical
simulation tools are utilized for producing 3D model of the skull. Finite
element analysis of titanium has been done by Patran software. The maximum
displacement of the implant, maximum stress parameters are measured with the
statistical data and supported with related figures. Various analyses have been
done during the implementation of skull implant and the results are evaluated
in details.

Anahtar Kelimeler

Skull implant, craniofacial implant

Kaynakça

Alibhai, M. K., Balasundaram, I., Bridle, C.,&Holmes, S. B (2013) Is There a Therapeutic Role for Cranioplasty, International Journal of Oral and Maxillofacial Surgery, 42: 559-561. Arun Kumar, K. V., Singla, N. K., Gowda, M. E., Kumar, D., & Legha, V. S. (2014) Current Concepts in Restoring Acquired Cranial Defects. Journal of Indian Prosthodontic Society, 14(Suppl 1):14-17. Black S.P. (1978). Reconstruction of the supraorbital ridge using aluminum. Surg Neurol., 9:121–128. Cabraja, M., Klein, M., & Lehmann, T. N. (2009). Long-Term Results Following Titanium Cranioplasty of Large Skull Defects. Neurosurgical Focus, 26: E10. Chen, S. T., Chang, C. J., Su, W. C., Chang, L. W., Chu, I. H., & Lin, M. S. (2015). 3D Titanium Mesh Reconstruction of Defective Skull After Frontal Craniectomy in Traumatic Brain Injury. Injury, 46(1):80-85. Eufinger, H., Rasche, C., Wehmoller, M., Scmeider, K., Scholz, M., Wiehe, S., et al. (2005). CAD/CAM titanium cranioplasty an evaualion of success and quality of life of 169 consecutive implants with size to regard and location. Int Congress Ser1281:827-831. Eufinger, H., Wittkampf, A. R., Wehmöller, M. & Zonneveld, F. W. (1998) Single-Step Fronto-Orbital Resection and Reconstruction with Individual Resection Template and Corresponding Titanium Implant: A New Method of Computer-Aided Surgery. Journal of Craniomaxillofacial Surgery, 26:373–378. Facchini, L., Magalini, E., Robotti, P., Molinari, A. (2009) Microstructure and mechanical properties of Ti-6Al-4V produced by electron beam melting of pre-alloyed powders. Rapid Prototyping Journal, 15 (Number 3): 171–178. Gordon, D.S., &Blair, G.A. (1974). Titanium Cranioplasty. British Medical Journal, 2: 478-481. Gupta, L., Aparna, I., Balakrishnan, D., Deenadayalan, L., Hegde, P., Agarwal, P. (2014) Cranioplasty with custom made alloplastic prosthetic implant: A case report. World J Clin Cases, 2(9): 482-487. Jardini, A. L., Larosa, M. A., MacielFilho, R., Zavaglia, C. A., Bernardes, L. F., Lambert, C. S., … Kharmandayan, P. (2014) Cranial Reconstruction: 3D Biomodel and Custom-Built Implant Created Using Additive Manufacturing. Journal of Cranio-Maxillo-Facial Surgery, 42(8):1877-84. Kung, W.M., Lin, F.H., Hsiao, S.H., Chiu, W.T., Chyau, C.C., Lu, S.H., et al. (2012). New reconstructive technologies after decompressive craniectomy in traumatic brain injury: the role of three-dimensional titanium mesh. J Neurotrauma 2911: 2030e2037. Logan, D.L. (2011). A first course in the finite element method. 5th ed. Stanford, CT: Cengage Learning.
Marchac D., Greensmith A. (2008). Long-term experience with methylmethacrylate cranioplasty in craniofacial surgery. J Plast Reconstr Aesthet Surg, 61:744–753. Peeters, W., van den Brande, R., Polinder, S., Brazinova, A., Steyerberg, E. W., Lingsma, H. F., &Maas, A. I. (2015). Epidemiology of Traumatic Brain Injury in Europe. Acta Neurochirurgica (Wien), 157(10): 1683-1696. Petzold, R., Zeilhofer, H.-F., &Kalender, W. A. (1999). Rapid Prototyping Technology in Medicine – Basics and Applications. Computerized Medical Imaging and Graphics, 23(5): 277-284. Piitulainen, J. M., Kauko, T., Aitasalo, K. M., Vuorinen, V., Vallittu, P. K., &Posti JP. (2015). Outcomes of Cranioplasty with Synthetic Materials and Autologous Bone Grafts. World Neurosurgery,83(5):708-714. Sanan, A., & Haines, S. J. (1997). Repairing Holes in the Head: A History of Cranioplasty. Neurosurgery, 40: 588-603. Scholz, M., Wehmoller, M., Lehmbrock, J., Schmieder, K., Engelhardt, M., Harders, A., &Eufinger, H. (2007). Reconstruction of The Temporal Contour for Traumatic Tissue Loss Using a CAD/CAM-Prefabricated Titanium Implant-Case Report. Journal of Cranio-Maxillo-Facial Surgery, 35(8): 388-392. Shan, A.M., Jung, H., Skirboll, S. (2014). Materials used in cranioplasty: a history and analysis. Neurosurg Focus 36 (4): E19. Shweta, P., Anburajan, M. (2011). Finite element analysis of the skull implant using ansys software. 2011 3rd International Conference on Electronics Computer Technology (ICECT 2011) 3:420-425. Spetzger, U., Vougioukas, V., & Schipper, J. (2010). Materials and Techniques for Osseous Skull Reconstruction. Minimally Invasive Therapy & Allied Technologies,19: 110-121. Stendel, R., Krischek, B., &Pietila, T. A. (2001). Biodegradable implants in neurosurgery. Acta Neurochirurgica (Wien),143:237-243. Van der Meer, W. J., Bos, R. R., Vissink, A., &Visser, A. (2013). Digital planning of cranial implants. British Journal of Oral and Maxillofacial Surgery, 51(5): 450-452. Van Putten Jr, M. C., &Yamada S (1992). Alloplastic cranial implants made from computed tomographic scan-generated casts. The Journal of Prosthetic Dentistry, 68:103-108. Wehmoller, M., Wiehe, S., Rasche, C., Scherer, P., & Eufinger, H. (2004). CAD/CAM-prefabricated titanium implants for large skull defects- clinical experience with 166 patients from 1994 to 2000. Int Congress Ser 1268:667-672 Wiggins, A., Austerberry, R., Morrison, D., Ho, K. M., & Honeybul, S. (2013). Cranioplasty with Custommade Titanium Plates-14 Years Experience. Neurosurgery, 72:248-256. Williams, L., Fan, K., Bentley, R. (2016). Titanium cranioplasty in children and adolescents. J Craniomaxillofac Surg 44: 789e794.

Yıl 2017, Sayı: 1, 22 - 29, 09.11.2017

Burak Oguzhan Savaser Osman Erogul Osman Erogul

Öz

Kaynakça

Alibhai, M. K., Balasundaram, I., Bridle, C.,&Holmes, S. B (2013) Is There a Therapeutic Role for Cranioplasty, International Journal of Oral and Maxillofacial Surgery, 42: 559-561. Arun Kumar, K. V., Singla, N. K., Gowda, M. E., Kumar, D., & Legha, V. S. (2014) Current Concepts in Restoring Acquired Cranial Defects. Journal of Indian Prosthodontic Society, 14(Suppl 1):14-17. Black S.P. (1978). Reconstruction of the supraorbital ridge using aluminum. Surg Neurol., 9:121–128. Cabraja, M., Klein, M., & Lehmann, T. N. (2009). Long-Term Results Following Titanium Cranioplasty of Large Skull Defects. Neurosurgical Focus, 26: E10. Chen, S. T., Chang, C. J., Su, W. C., Chang, L. W., Chu, I. H., & Lin, M. S. (2015). 3D Titanium Mesh Reconstruction of Defective Skull After Frontal Craniectomy in Traumatic Brain Injury. Injury, 46(1):80-85. Eufinger, H., Rasche, C., Wehmoller, M., Scmeider, K., Scholz, M., Wiehe, S., et al. (2005). CAD/CAM titanium cranioplasty an evaualion of success and quality of life of 169 consecutive implants with size to regard and location. Int Congress Ser1281:827-831. Eufinger, H., Wittkampf, A. R., Wehmöller, M. & Zonneveld, F. W. (1998) Single-Step Fronto-Orbital Resection and Reconstruction with Individual Resection Template and Corresponding Titanium Implant: A New Method of Computer-Aided Surgery. Journal of Craniomaxillofacial Surgery, 26:373–378. Facchini, L., Magalini, E., Robotti, P., Molinari, A. (2009) Microstructure and mechanical properties of Ti-6Al-4V produced by electron beam melting of pre-alloyed powders. Rapid Prototyping Journal, 15 (Number 3): 171–178. Gordon, D.S., &Blair, G.A. (1974). Titanium Cranioplasty. British Medical Journal, 2: 478-481. Gupta, L., Aparna, I., Balakrishnan, D., Deenadayalan, L., Hegde, P., Agarwal, P. (2014) Cranioplasty with custom made alloplastic prosthetic implant: A case report. World J Clin Cases, 2(9): 482-487. Jardini, A. L., Larosa, M. A., MacielFilho, R., Zavaglia, C. A., Bernardes, L. F., Lambert, C. S., … Kharmandayan, P. (2014) Cranial Reconstruction: 3D Biomodel and Custom-Built Implant Created Using Additive Manufacturing. Journal of Cranio-Maxillo-Facial Surgery, 42(8):1877-84. Kung, W.M., Lin, F.H., Hsiao, S.H., Chiu, W.T., Chyau, C.C., Lu, S.H., et al. (2012). New reconstructive technologies after decompressive craniectomy in traumatic brain injury: the role of three-dimensional titanium mesh. J Neurotrauma 2911: 2030e2037. Logan, D.L. (2011). A first course in the finite element method. 5th ed. Stanford, CT: Cengage Learning.
Marchac D., Greensmith A. (2008). Long-term experience with methylmethacrylate cranioplasty in craniofacial surgery. J Plast Reconstr Aesthet Surg, 61:744–753. Peeters, W., van den Brande, R., Polinder, S., Brazinova, A., Steyerberg, E. W., Lingsma, H. F., &Maas, A. I. (2015). Epidemiology of Traumatic Brain Injury in Europe. Acta Neurochirurgica (Wien), 157(10): 1683-1696. Petzold, R., Zeilhofer, H.-F., &Kalender, W. A. (1999). Rapid Prototyping Technology in Medicine – Basics and Applications. Computerized Medical Imaging and Graphics, 23(5): 277-284. Piitulainen, J. M., Kauko, T., Aitasalo, K. M., Vuorinen, V., Vallittu, P. K., &Posti JP. (2015). Outcomes of Cranioplasty with Synthetic Materials and Autologous Bone Grafts. World Neurosurgery,83(5):708-714. Sanan, A., & Haines, S. J. (1997). Repairing Holes in the Head: A History of Cranioplasty. Neurosurgery, 40: 588-603. Scholz, M., Wehmoller, M., Lehmbrock, J., Schmieder, K., Engelhardt, M., Harders, A., &Eufinger, H. (2007). Reconstruction of The Temporal Contour for Traumatic Tissue Loss Using a CAD/CAM-Prefabricated Titanium Implant-Case Report. Journal of Cranio-Maxillo-Facial Surgery, 35(8): 388-392. Shan, A.M., Jung, H., Skirboll, S. (2014). Materials used in cranioplasty: a history and analysis. Neurosurg Focus 36 (4): E19. Shweta, P., Anburajan, M. (2011). Finite element analysis of the skull implant using ansys software. 2011 3rd International Conference on Electronics Computer Technology (ICECT 2011) 3:420-425. Spetzger, U., Vougioukas, V., & Schipper, J. (2010). Materials and Techniques for Osseous Skull Reconstruction. Minimally Invasive Therapy & Allied Technologies,19: 110-121. Stendel, R., Krischek, B., &Pietila, T. A. (2001). Biodegradable implants in neurosurgery. Acta Neurochirurgica (Wien),143:237-243. Van der Meer, W. J., Bos, R. R., Vissink, A., &Visser, A. (2013). Digital planning of cranial implants. British Journal of Oral and Maxillofacial Surgery, 51(5): 450-452. Van Putten Jr, M. C., &Yamada S (1992). Alloplastic cranial implants made from computed tomographic scan-generated casts. The Journal of Prosthetic Dentistry, 68:103-108. Wehmoller, M., Wiehe, S., Rasche, C., Scherer, P., & Eufinger, H. (2004). CAD/CAM-prefabricated titanium implants for large skull defects- clinical experience with 166 patients from 1994 to 2000. Int Congress Ser 1268:667-672 Wiggins, A., Austerberry, R., Morrison, D., Ho, K. M., & Honeybul, S. (2013). Cranioplasty with Custommade Titanium Plates-14 Years Experience. Neurosurgery, 72:248-256. Williams, L., Fan, K., Bentley, R. (2016). Titanium cranioplasty in children and adolescents. J Craniomaxillofac Surg 44: 789e794.

Toplam 2 adet kaynakça vardır.

Ayrıntılar

Konular	Mühendislik
Bölüm	Makaleler
Yazarlar	Burak Oguzhan Savaser Osman Erogul Osman Erogul
Yayımlanma Tarihi	9 Kasım 2017
Yayımlandığı Sayı	Yıl 2017Sayı: 1

Kaynak Göster

APA	Savaser, B. O., & Osman Erogul, O. E. (2017). PATIENT SPECIFIC IMPLANT DESIGN AND PRODUCTION FOR CLOSURE OF SKULL DEFECTS. The Eurasia Proceedings of Science Technology Engineering and Mathematics(1), 22-29.