Turkish Neurosurgery
One-Step Customized PEEK Cranioplasty After 3D Printed Resection Template Assisted Surgery for a Frontal Intraosseous Meningioma: A Case Report
Amaury De Barros1, David Brauge1, Romain Quehan 1, Zoe Cavallier2, Franck Emmanuel Roux1, Emmanuel Moyse1
1Department of Neurosurgery, Toulouse University Hospital, 31, Toulouse,
2Department of Maxillofacial Surgery, Toulouse University Hospital, 31, Toulouse,
3CNRS UMR5549 Brain and Cognition (Cerco), Hôpital Purpan, 31, Toulouse,
DOI: 10.5137/1019-5149.JTN.30192-20.2

Background: Intraosseous meningioma are rare entities. There surgical management are often challenging. One-step customized cranioplasty can be a good solution to treat them. Case description: The authors report the case of a 54-year-old woman with a consequent frontal intraosseous meningioma invading the superior sagittal sinus. The patient only suffered from local pain and cosmetic damage. A complete resection was scheduled with a one-step reconstruction of the frontal bone by a polyetheretherketone (PEEK) specific implant. This implant was computer-assisted designed and manufactured and verified by the surgeon before the intervention. During surgery, the resection was guided by a computer designed resection template and by the classic neuronavigation system. Cranioplasty has been considered optimal intraoperatively by surgeons. The patient, a few weeks after surgery, underwent a subcutaneous fluid collection, rapidly resolutive with a circumferential pressure bandage. Six months after surgery, the patient considered the surgery a success with a very good cosmetic result and a total regression of her local pain. Conclusion: One-step computer-assisted cranioplasty is a safe and effective procedure for large skull defects. PEEK specific implant for cranioplasty offer advantages compared to other materials that will be discussed under the scope of the one-step reconstruction.

Corresponding author : Amaury De Barros