Turkish Neurosurgery
A new concept for primary reconstruction of skull defects with 3D-molded PEEK patch assisted by navigation in an animal study
Jin Gong1, Yangjie Xie2, Haiyong He1, Manting Li1, Lun Luo1, Baoyu Zhang1, Tengchao Huang1, Rongqian Yang2, Ying Guo1
1The Third Affiliated Hospital of Sun Yat-sen University, Neurosurgery, Guangzhou,
2South China University of Technology, Biomedical Engineering, Guangzhou,
DOI: 10.5137/1019-5149.JTN.36272-21.2

Aim:The purpose of this study was to perform an accurate primary repair of temporal bone defects.Material and Methods:The temporal bone defect models were performed in beagles. Extended estimated patches of the defects were predesigned by 3D reconstruction software and molded from polyether ether ketone (PEEK) using a lathe. The precise trimming of the extended PEEK patches was established via coordinate transformation of the patches between the navigation system and the reconstruction software, and in real-time tracing via intraoperative navigation. Trimmed PEEK patches were embedded onto the defects. Blood tests and image examinations were conducted postoperatively.Results:The extended PEEK patches were prepared precisely according to the predesign. Real-time tracing of the actual skull defect profile was performed quickly and accurately. Trimmed skull patches perfectly matched the shape of the defects. No signs of infection, absorption, or translocation of the patches occurred postoperatively, and little epidural effusion was found.Conclusion:With the assistance of navigation and 3D reconstruction technology, customized molded PEEK patches can be used for accurate primary repair of temporal bone defects.

Corresponding author : Ying Guo