Computergestützte plastische Deckung von Schädelkalottendefekten

 

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Zusammenfassung:

Großflächige Schädelkalottendefekte stellen neben den pathophysiologischen Effekten und einer aufgehobenen Schutzfunktion ein ästhetisches und psychologisches Problem dar. Anhand einer Fallzahl von 44 Patienten wird eine Methode zur plastischen Deckung mittels computerunterstützt hergestellter Implantate vorgestellt. Aus einem 3-D-CT wird ein Negativmodell erstellt, in das Refobacin-Palacos nach den individuellen Bedürfnissen einmodelliert wird. Die Implantation erfolgt nach Sterilisation der Plastik und gewährleistet ein optimales kosmetisches Ergebnis. Die Verwendung von Kalottenmodellen ermöglicht eine breitere Anwendungsoption ohne Notwendigkeit einer hochspezialisierten Rechnerunterstützung.

Summary

Large bony skull defects sometimes face problems of some pathophysiological effects, protection of the underlying brain, the impaired appearance, and from a psychological point of view. A computer-assisted method is presented, which has been successfully used in 44 patients. From 3-D-CT data a phantom was built in which Refobacin-Palacos was modeled for individual requirements. The plastic can be implanted after sterilization and leads to excellent cosmetical results. The use of a negative model reveals the possibility of an extended field of application without the necessity of highly specialized computersystems.

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Prof. Dr. Martin Lorenz

Neurochirurgische Klinik

Medizinische Hochschule Hannover

Carl-Neuberg-Str. 1

D-30625 Hannover

Phone: +49-511-532 3770

Fax: +49-511-532 8774

Email: lorenz.martin@mh-hannover.de