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Finite element method for the design of implants for temporal hollowing
Federica Ruggiero1,2, David Dunaway2,3, Curtis Budden2
1DIBINEM Alma Mater Studiorum University of Bologna, Bologna, Italia.
JPRAS Open
|March 4, 2022
Summary
Temporal indentations following surgery can be corrected using custom 3D-printed PEEK implants. This approach leverages virtual surgical planning and finite element modeling for precise, patient-specific reconstruction.
Area of Science:
- Craniofacial surgery
- Biomaterials science
- Computer-aided design and manufacturing (CAD/CAM)
Background:
- Temporal indentations are a significant complication after coronal flap dissection, often resulting from dissection of the temporal fat pad or temporalis muscle.
- Traditional correction methods can be challenging, necessitating improved surgical techniques and materials.
Observation:
- Advancements in CAD/CAM technology enable precise pre-surgical virtual planning for craniofacial reconstruction.
- Patient-specific implants manufactured from biocompatible materials like PEEK offer a promising solution with low complication and recurrence rates.
Findings:
- A case of secondary and corrective surgery for fronto-orbital remodeling is presented, addressing temporal indentations.
- Patient-specific PEEK implants, designed using CAD and optimized with finite element modeling, were successfully utilized for reconstruction.
Implications:
- This virtual, patient-specific implant approach offers a viable and effective method for correcting complex craniofacial deformities.
- The use of PEEK implants demonstrates potential for improved outcomes in secondary reconstructive surgeries, minimizing complications and enhancing aesthetic results.

