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CC BY-NC-ND 4.0 · Asian J Neurosurg 2021; 16(01): 150-154
DOI: 10.4103/ajns.AJNS_441_20
Case Report

Customized cost-effective polymethyl-methacrylate cranioplasty implant using three-dimensional printer

Sambardhan Dabadi
Department of Biomedical Engineering, Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu
,
Raju Dhungel
Department of Biomedical Engineering, Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu
,
Upama Sharma
1   Department of Neurosurgery, Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu
,
Dinuj Shrestha
1   Department of Neurosurgery, Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu
,
Pritam Gurung
1   Department of Neurosurgery, Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu
,
Resha Shrestha
1   Department of Neurosurgery, Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu
,
Basant Pant
1   Department of Neurosurgery, Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu
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There is no doubt that many synthetic materials used in cranioplasty have given good result regarding patient's calvarial shape. However, the use of these materials is costly to the patient and requires complex intraoperative process. There has been a long history regarding the use of acrylic bone cement called as polymethyl-methacrylate (PMMA) as an implant due to its desirable properties. Here, we present three cases of simple, cost effective manually sculpted calvarial defect using three-dimensional (3D) printer. Sharing the achievement and challenges, we want to focus that the 3D customized implant of PMMA can be used as bone substitute.

Key-words:

Bone cement - cranioplasty - polymethyl-methacrylate prosthesis - three-dimensional printing

Financial support and sponsorship

Nil.




Publication History

Received: 18 September 2020

Accepted: 26 January 2021

Article published online:
16 August 2022

© 2021. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Pant B. Delivery of primary neurosurgical care in developing countries – Scope for mutual cooperation. Neurol Med Chir (Tokyo) 1996;36:326-9.
  • 2 Roka YB. Neurosurgery in Eastern Nepal: The past, present and future and a near decade of personal experience. Nep J Neurosci 2017;14:1-2.
  • 3 Tan ET, Ling JM, Dinesh SK. The feasibility of producing patient-specific acrylic cranioplasty implants with a low-cost 3D printer. Journal of Neurosurgery 2016;124:1531-7.
  • 4 Rotaru H, Stan H, Florian IS, Schumacher R, Park YT, Kim SG, et al. Cranioplasty with custom-made implants: Analyzing the cases of 10 patients. J Oral and Maxillofac Surg 2012;70:e169-76.
  • 5 De La Peña A, De La Peña-Brambila J, Pérez-De La Torre J, Ochoa M, Gallardo GJ. Low-cost customized cranioplasty using a 3D digital printing model: A case report. 3D Print Med 2018;4:4.
  • 6 Marchac D, Greensmith A. Long-term experience with methylmethacrylate cranioplasty in craniofacial surgery. J Plas Reconstr Aesthet Surg 2008;61:744-52.
  • 7 Binhammer A, Jakubowski J, Antonyshyn O, Binhammer P. Comparative cost-effectiveness of cranioplasty implants. Plast Surg (Oakv) 2020;28:29-39.
  • 8 Kim BJ, Hong KS, Park KJ, Park DH, Chung YG, Kang SH. Customized cranioplasty implants using three-dimensional printers and polymethyl-methacrylate casting. J Korean Neurosurg Soc 2012;52:541-6.
  • 9 Staffa G, Barbanera A, Faiola A, Fricia M, Limoni P, Mottaran R, et al. Custom made bioceramic implants in complex and large cranial reconstruction: A two-year follow-up. J Craniomaxillofac Surg 2012;40:e65-70.
  • 10 Morales-Gómez JA, Garcia-Estrada E, Leos-Bortoni JE, Delgado-Brito M, Flores-Huerta LE, De La Cruz-Arriaga AA, et al. Cranioplasty with a low-cost customized polymethylmethacrylate implant using a desktop 3D printer. J Neurosurg 2019;130:1721-7.
  • 11 Chamo D, Msallem B, Sharma N, Aghlmandi S, Kunz C, Thieringer FM. Accuracy assessment of molded, patient-specific polymethylmethacrylate craniofacial implants compared to their 3D printed originals. Journal of Clinical Medicine 2020;9:832.