Abstract:

BACKGROUND: Digital three-dimensional reconstructed titanium mesh can achieve the best physiologic and anatomical molding in skull defect cranioplasty.
OBJECTIVE: To compare the clinical effects of digital three-dimensional reconstructed titanium mesh and manual reconstructed titanium mesh for cranioplasty of skull defect.
METHODS: A total of 84 patients with skull defect were divided into two groups randomly. Forty-three patients were repaired with manual reconstructed titanium mesh, and 41 patients with digital three-dimensional reconstructed titanium mesh. Titanium mesh was made into individual skull prosthetic replacement by computer three-dimensional reconstruction.
RESULTS AND CONCLUSION: In the digital three-dimensional reconstructed group, the operation time was shorter and the incidence rate of complication was fewer, while the degree of molding satisfaction was significantly higher than the manual reconstructed group (P < 0.05). Biocompatibility was better but the cost of mesh was higher than the manual reconstructed group. Results show that the digital three-dimensional reconstructed titanium mesh can save surgical duration, have less postoperative complications, have high satisfaction, and cost more money in cranioplasty.