Pritz Michael B, Burgett Richard A
Department of Neurological Surgery, Indiana University School of Medicine, Indianapolis, Indiana.
Skull Base. 2009 Mar;19(2):163-70. doi: 10.1055/s-0028-1096199.
This report details a technique for spheno-orbital reconstruction after meningioma resection. The approach uses a life-size skull model generated from a thin-slice craniomaxillofacial computed tomogram. On this skull model, the planned area of bone removal of the involved orbit and sphenoid is outlined on the normal side opposite the lesion. A three-dimensional implant is then generated by reversing the anticipated area of bone resection on the normal side to create a mirror-image implant. This technique resulted in minimal intraoperative implant contouring, decreased surgical time, and satisfactory functional and cosmetic outcome.