[用于颅骨美学重建的聚醚醚酮定制植入物]
[PEEK customized implant for skull esthetic reconstruction].
作者信息
Foletti J-M, Lari N, Dumas P, Compes P, Guyot L
机构信息
Service de chirurgie maxillo-faciale, plastique, esthétique et reconstructrice, hôpital Nord, chemin des Bourrelys, 13915 Marseille cedex 20, France.
出版信息
Rev Stomatol Chir Maxillofac. 2012 Dec;113(6):468-71. doi: 10.1016/j.stomax.2012.07.008. Epub 2012 Nov 22.
INTRODUCTION
Craniotomies provide unsightly sequels. Conservative methods for the removed bone, autologous graft, or use of surgical cement do not always allow restoring cranial symmetry. A customized PolyEtherEtherKetone (PEEK) implant may then be used. This implant is made from 3D CT reconstruction. The PEEK material is biocompatible, conformable, strong enough to protect the brain.
TECHNICAL NOTE
The authors report a case of aesthetic reconstruction of a large cranial defect using a customized PEEK implant. Balloon scalp expansion was performed before implant placement.
DISCUSSION
The aesthetic results are satisfactory, the postoperative short and simple. PEEK is a good alternative to titanium implants for customized implants; it is easier to use and lighter. This customized implant is well suited to correct unsightly sequels of craniotomy.
引言
开颅手术会留下难看的后遗症。对于移除的骨头采用保守方法、自体移植或使用手术骨水泥并不总能恢复颅骨对称性。此时可使用定制的聚醚醚酮（PEEK）植入物。该植入物由三维CT重建制作而成。PEEK材料具有生物相容性、贴合性，强度足以保护大脑。
技术说明
作者报告了一例使用定制PEEK植入物对大型颅骨缺损进行美学重建的病例。在植入物放置前进行了头皮扩张术。
讨论
美学效果令人满意，术后过程简短且简单。对于定制植入物而言，PEEK是钛植入物的良好替代品；它使用起来更简便且更轻。这种定制植入物非常适合矫正开颅手术留下的难看后遗症。
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