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Erschienen in:
09.06.2023 | Original Paper
Cranial reconstruction with polyetheretherketone patient-specific implant: a single-center experience
Erschienen in: European Journal of Plastic Surgery | Ausgabe 6/2023
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Background
Cranial reconstruction is a challenging procedure. The procedure aims to restore the aesthetic and function of the normal skull bone. There have been several materials ascribed to the reconstruction of the cranial vault. Among these materials is polyetheretherketon (PEEK), which is a superior biomedical polymer.
Methods
A retrospective review of all PEEK cranioplasties that were conducted in Khoula Hospital between 2017 and 2021 was performed. Fourteen patients were included in this study. Data collection included the demographics, the characteristics of the cranial defect, and the post-operative complications.
Results
Majority of the cases had a cranial defect secondary to decompressive craniectomy 78.5% (n = 11). These defects had an average size of 12 × 10 cm. There were immediate postoperative complications reported. However, 4 cases had seroma collection upon follow-up that required aspiration. In terms of the aesthetic outcome, 2 cases had temporal hollowing.
Conclusion
PEEK serves as an outstanding material for cranial reconstruction. It is associated with a relatively low complication rate. However, the design of the implant should be modified to achieve a superior aesthetic outcome and reduce temporal depression.
Level of evidence: Level IV, Therapeutic.