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.
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Corresponding author : Amaury De Barros