The Use of Customized Cranioplasty Implant Formed with Desktop 3D-Printer Using 3D-Printed ABS Plastic Compare with Methyl Methacrylate Resin in Cranioplastic Patient
Keywords:
customized cranioplasty, skull defects, PMMA, ABS, 3D-printed cranioplastyAbstract
The purpose of this study was to evaluate the utilization, efficacy, effectiveness and complications in delayed cranioplasty patients using a 3D-printed cranioplasty compared with delayed cranioplasty patients using self-curing methyl methacrylate resin that was traditionally molded by hand in Phranangklao Hospital. A prospective study was used to evaluate the efficacy and safety of 3D-printed cranioplasty compared with conventional cranioplasty. Twenty-eight consecutive patients who underwent delayed cranioplasty from June 2018 to December 2020 in Phranangklao Hospital were evaluated. Age, sex, initial diagnosis, operative time, length of stay and complications from surgery occurring within 1 year after surgery were analyzed using distribution of frequency, percentage, mean and standard deviation. Differences were tested with likelihood ratio chi-square and independent samples t test. The 3D-printed cranioplasty group had shorter operation time than the conventional cranioplasty group (p<0.05). In the 3D-printed cranioplasty group, complications were greater than the conventional cranioplasty group (p<0.05). No serious complications were found from the materials used. The use of a 3D-printed cranioplasty using ABS plastic could be done at a hospital-level, satisfactorily safe and effective. Significantly reduce the time of surgery. No serious complications from the material used were found.
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