case_images: PMC9326212_01
case_images: Preoperative frontal view of the defect
case_images: NJMS-13-136-g001.jpg
case_images: PMC9326212_01_NJMS-13-136-g001.jpg
case_images: F1
case_images: A 37-year-old male patient was referred from the Department of Neurosurgery for fabrication of cranial prosthesis for fronto-parito-tempero-occipial defect of the left side [Figure 1].
case_images: Final cast and wax pattern
case_images: NJMS-13-136-g002.jpg
case_images: PMC9326212_01_NJMS-13-136-g002.jpg
case_images: F2
case_images: Scoring of the margins was done within the boundaries of the two markings and additional plaster added to restore the contour of the vault [Figure 2].
case_images: Wax patter trial
case_images: NJMS-13-136-g003.jpg
case_images: PMC9326212_01_NJMS-13-136-g003.jpg
case_images: F3
case_images: The thickness of the wax pattern was kept at approx. 3 mm and when near-perfect contour was achieved, a wax trial was done to evaluate future esthetics [Figure 3].
case_images: (a) Processing of polymethyl methacrylate prosthesis conventionally. (b) Finished prosthesis and surgical placement of prosthesis
case_images: NJMS-13-136-g004.jpg
case_images: PMC9326212_01_NJMS-13-136-g004.jpg
case_images: F4
case_images: The prosthesis was surgically secured at the defect site using mini plates and screws [Figure 4].
case_images: Final result after 3 weeks
case_images: NJMS-13-136-g005.jpg
case_images: PMC9326212_01_NJMS-13-136-g005.jpg
case_images: F5
case_images: Prosthesis rehabilitated the near-original contour of the vault and thus restored the esthetics of the patient [Figure 5].
case_images: PMC9326212_02
case_images: Preoperative view of case II
case_images: NJMS-13-136-g006.jpg
case_images: PMC9326212_02_NJMS-13-136-g006.jpg
case_images: F6
case_images: The patient was asked to shave his head and the bony margins of the defect were marked and the conventional moulage impression was made in irreversible hydrocolloid reinforced with plaster [Figure 6].
case_images: Final prosthesis with titanium mess incorporated
case_images: NJMS-13-136-g007.jpg
case_images: PMC9326212_02_NJMS-13-136-g007.jpg
case_images: F7
case_images: The polymerized prosthesis was finished, polished and then holes were drilled into the finished cranial prosthesis [Figure 7].
case_images: Final result after 6 months
case_images: NJMS-13-136-g008.jpg
case_images: PMC9326212_02_NJMS-13-136-g008.jpg
case_images: F8
case_images: The patient was seen 6 months postoperative and was noted to have an acceptable rehabilitation of the defect [Figure 8].
case_images: PMC9326212_03
case_images: Preoperative frontal view of defect with disfigure implants
case_images: NJMS-13-136-g009.jpg
case_images: PMC9326212_03_NJMS-13-136-g009.jpg
case_images: F9
case_images: Since the graft obscured the margins of the defect, hence it was not possible to make conventional moulage impression of the defect [Figure 9].
case_images: 3D Model with defect and Wax pattern fabricated on 3D model
case_images: NJMS-13-136-g010.jpg
case_images: PMC9326212_03_NJMS-13-136-g010.jpg
case_images: F10
case_images: Then, the dicom data was converted to STL format and 3D printing was done [Figure 10].
case_images: Intra operative view (Biopore implant removed and polymethyl methacrylate implant secured in place)
case_images: NJMS-13-136-g011.jpg
case_images: PMC9326212_03_NJMS-13-136-g011.jpg
case_images: F11
case_images: During the surgical phase, the existing Biopore graft was removed and PMMA graft screwed in place with mini plates and screws [Figure 11].
case_images: Postoperative frontal view
case_images: NJMS-13-136-g012.jpg
case_images: PMC9326212_03_NJMS-13-136-g012.jpg
case_images: F12
case_images: The patient was reviewed after 3 wks to observe a favorable profile of graft and an esthetic outcome of the case [Figure 12].
case_images: PMC9326212_04
case_images: (a) Digital reconstruction of defect from computerized tomography scan data. (b) 3D printing of model and model with defect
case_images: NJMS-13-136-g013.jpg
case_images: PMC9326212_04_NJMS-13-136-g013.jpg
case_images: F13
case_images: The data was used to fabricate a 3D digital replica of the defect [Figure 13].
case_images: Digital model of restoration of the defect and 3D printer model of restoration
case_images: NJMS-13-136-g014.jpg
case_images: PMC9326212_04_NJMS-13-136-g014.jpg
case_images: F14
case_images: This restoration was then 3D printed using the same technique [Figure 14].