In 2 cases, septic complications that occurred were not connected to the technique itself, and the implants were removed and later replaced. No technical problems were noted during the operations. Between 20, we performed 54 cranioplasties on 52 patients whose craniotomies were performed previously for indications of traumatic brain injury, stroke or tumour surgeries. Polymethyl methacrylate implants were prepared directly in an aseptic environment in the operating room during surgery. A sterilisable silicone mould based on the finalized model was created afterwards. The precise fit of the implant can be checked by printing the defective part of the skull in case it can be modified. In this way, a 3D model of the planned implant can be built in the required shape and size. The 3-dimensional (3D) reconstruction of a thin-layer computed tomography (CT) scan of the skull was used to reflect the intact side onto the defect and subtract the overlapping points from one another. Safe and easy techniques are required to enhance patients’ recovery and the rehabilitation process. All types of cranioplasty techniques restore the morphology of the skull and affect patient aesthetics.
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