Computed-tomography modeled polyether ether ketone (PEEK) implants in revision cranioplasty

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30 Citations (Scopus)

Abstract

Purpose Traditional cranioplasty methods focus on pre-operative or intraoperative hand molding. Recently, CT-guided polyether ether ketone (PEEK) plate reconstruction enables precise, time-saving reconstruction. This case series aims to show a single institution experience with use of PEEK cranioplasty as an effective, safe, precise, reusable, and time-saving cranioplasty technique in large, complex cranial defects. Methods We performed a 6-year retrospective review of cranioplasty procedures performed at our affiliated hospitals using PEEK implants. A total of nineteen patients underwent twenty-two cranioplasty procedures. Pre-operative, intra-operative, and post-operative data was collected. Results Nineteen patients underwent twenty-two procedures. Time interval from injury to loss of primary cranioplasty averaged 57.7 months (0-336 mo); 4.0 months (n = 10, range 0-19) in cases of trauma. Time interval from primary cranioplasty loss to PEEK cranioplasty was 11.8 months for infection (n = 11, range 6-25 mo), 12.2 months for trauma (n = 5, range 2-27 mo), and 0.3 months for cosmetic or functional reconstructions (n = 3, range 0-1). Similar surgical techniques were used in all patients. Drains were placed in 11/22 procedures. Varying techniques were used in skin closure, including adjacent tissue transfer (4/22) and free tissue transfer (1/22). The PEEK plate required modification in four procedures. Three patients had reoperation following PEEK plate reconstruction. Conclusion Cranioplasty utilizing CT-guided PEEK plate allows easy inset, anatomic accuracy, mirror image aesthetics, simplification of complex 3D defects, and potential time savings. Additionally, it's easily manipulated in the operating room, and can be easily re-utilized in cases of intraoperative course changes or infection.

Original languageEnglish (US)
Pages (from-to)329-338
Number of pages10
JournalJournal of Plastic, Reconstructive and Aesthetic Surgery
Volume68
Issue number3
DOIs
StatePublished - Mar 1 2015

Fingerprint

Ketones
Ether
Tomography
Wounds and Injuries
Operating Rooms
Infection
Esthetics
Reoperation
Cosmetics
Hand
Skin

Keywords

  • Cranioplasty
  • PEEK
  • Polyether ether ketone
  • Revision cranioplasty

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)

Cite this

@article{be83d0ea70cb46c6a33678fdfe17e8fb,
title = "Computed-tomography modeled polyether ether ketone (PEEK) implants in revision cranioplasty",
abstract = "Purpose Traditional cranioplasty methods focus on pre-operative or intraoperative hand molding. Recently, CT-guided polyether ether ketone (PEEK) plate reconstruction enables precise, time-saving reconstruction. This case series aims to show a single institution experience with use of PEEK cranioplasty as an effective, safe, precise, reusable, and time-saving cranioplasty technique in large, complex cranial defects. Methods We performed a 6-year retrospective review of cranioplasty procedures performed at our affiliated hospitals using PEEK implants. A total of nineteen patients underwent twenty-two cranioplasty procedures. Pre-operative, intra-operative, and post-operative data was collected. Results Nineteen patients underwent twenty-two procedures. Time interval from injury to loss of primary cranioplasty averaged 57.7 months (0-336 mo); 4.0 months (n = 10, range 0-19) in cases of trauma. Time interval from primary cranioplasty loss to PEEK cranioplasty was 11.8 months for infection (n = 11, range 6-25 mo), 12.2 months for trauma (n = 5, range 2-27 mo), and 0.3 months for cosmetic or functional reconstructions (n = 3, range 0-1). Similar surgical techniques were used in all patients. Drains were placed in 11/22 procedures. Varying techniques were used in skin closure, including adjacent tissue transfer (4/22) and free tissue transfer (1/22). The PEEK plate required modification in four procedures. Three patients had reoperation following PEEK plate reconstruction. Conclusion Cranioplasty utilizing CT-guided PEEK plate allows easy inset, anatomic accuracy, mirror image aesthetics, simplification of complex 3D defects, and potential time savings. Additionally, it's easily manipulated in the operating room, and can be easily re-utilized in cases of intraoperative course changes or infection.",
keywords = "Cranioplasty, PEEK, Polyether ether ketone, Revision cranioplasty",
author = "O'Reilly, {Eamon B.} and Sam Barnett and Christopher Madden and Babu Welch and Bruce Mickey and Shai Rozen",
year = "2015",
month = "3",
day = "1",
doi = "10.1016/j.bjps.2014.11.001",
language = "English (US)",
volume = "68",
pages = "329--338",
journal = "Journal of Plastic, Reconstructive and Aesthetic Surgery",
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T1 - Computed-tomography modeled polyether ether ketone (PEEK) implants in revision cranioplasty

AU - O'Reilly, Eamon B.

AU - Barnett, Sam

AU - Madden, Christopher

AU - Welch, Babu

AU - Mickey, Bruce

AU - Rozen, Shai

PY - 2015/3/1

Y1 - 2015/3/1

N2 - Purpose Traditional cranioplasty methods focus on pre-operative or intraoperative hand molding. Recently, CT-guided polyether ether ketone (PEEK) plate reconstruction enables precise, time-saving reconstruction. This case series aims to show a single institution experience with use of PEEK cranioplasty as an effective, safe, precise, reusable, and time-saving cranioplasty technique in large, complex cranial defects. Methods We performed a 6-year retrospective review of cranioplasty procedures performed at our affiliated hospitals using PEEK implants. A total of nineteen patients underwent twenty-two cranioplasty procedures. Pre-operative, intra-operative, and post-operative data was collected. Results Nineteen patients underwent twenty-two procedures. Time interval from injury to loss of primary cranioplasty averaged 57.7 months (0-336 mo); 4.0 months (n = 10, range 0-19) in cases of trauma. Time interval from primary cranioplasty loss to PEEK cranioplasty was 11.8 months for infection (n = 11, range 6-25 mo), 12.2 months for trauma (n = 5, range 2-27 mo), and 0.3 months for cosmetic or functional reconstructions (n = 3, range 0-1). Similar surgical techniques were used in all patients. Drains were placed in 11/22 procedures. Varying techniques were used in skin closure, including adjacent tissue transfer (4/22) and free tissue transfer (1/22). The PEEK plate required modification in four procedures. Three patients had reoperation following PEEK plate reconstruction. Conclusion Cranioplasty utilizing CT-guided PEEK plate allows easy inset, anatomic accuracy, mirror image aesthetics, simplification of complex 3D defects, and potential time savings. Additionally, it's easily manipulated in the operating room, and can be easily re-utilized in cases of intraoperative course changes or infection.

AB - Purpose Traditional cranioplasty methods focus on pre-operative or intraoperative hand molding. Recently, CT-guided polyether ether ketone (PEEK) plate reconstruction enables precise, time-saving reconstruction. This case series aims to show a single institution experience with use of PEEK cranioplasty as an effective, safe, precise, reusable, and time-saving cranioplasty technique in large, complex cranial defects. Methods We performed a 6-year retrospective review of cranioplasty procedures performed at our affiliated hospitals using PEEK implants. A total of nineteen patients underwent twenty-two cranioplasty procedures. Pre-operative, intra-operative, and post-operative data was collected. Results Nineteen patients underwent twenty-two procedures. Time interval from injury to loss of primary cranioplasty averaged 57.7 months (0-336 mo); 4.0 months (n = 10, range 0-19) in cases of trauma. Time interval from primary cranioplasty loss to PEEK cranioplasty was 11.8 months for infection (n = 11, range 6-25 mo), 12.2 months for trauma (n = 5, range 2-27 mo), and 0.3 months for cosmetic or functional reconstructions (n = 3, range 0-1). Similar surgical techniques were used in all patients. Drains were placed in 11/22 procedures. Varying techniques were used in skin closure, including adjacent tissue transfer (4/22) and free tissue transfer (1/22). The PEEK plate required modification in four procedures. Three patients had reoperation following PEEK plate reconstruction. Conclusion Cranioplasty utilizing CT-guided PEEK plate allows easy inset, anatomic accuracy, mirror image aesthetics, simplification of complex 3D defects, and potential time savings. Additionally, it's easily manipulated in the operating room, and can be easily re-utilized in cases of intraoperative course changes or infection.

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KW - Revision cranioplasty

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