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Related Experiment Video

Updated: Jun 9, 2026

Designing CAD/CAM Surgical Guides for Maxillary Reconstruction Using an In-house Approach
08:01

Designing CAD/CAM Surgical Guides for Maxillary Reconstruction Using an In-house Approach

Published on: August 24, 2018

Two-Staged Cranial Reconstruction: Tissue Expansion, Galeocapsular Flaps, and CAD/CAM Three-Dimensional Titanium

Yasir Vural1, Can Koç, Bilge Kağan Aysal

  • 1Department of Plastic, Reconstructive and Aesthetic Surgery, Bezmialem Vakıf University Hospital, Istanbul, Turkey.

The Journal of Craniofacial Surgery
|June 8, 2026
PubMed
Summary

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Is early graded motor imagery training effective after upper extremity peripheral nerve injury? A randomized controlled preliminary study.

Journal of hand therapy : official journal of the American Society of Hand Therapists·2025
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Two-Staged Three-Layered Cranial Reconstruction: Galeocapsular Flaps Through Tissue Expansion and Slit-Designed CAD/CAM Titanium Implants.

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Adaptation of virtual surgical planning to midface reconstruction with intraoperative navigation: "navigation mediated midface reconstruction".

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Comparison of surgical techniques used for prevention of neuroma in order to make more clear the role of the epineurium. An experimental study.

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Annali italiani di chirurgia·2023

This study presents a two-stage technique using tissue expanders and patient-specific implants for complex cranial reconstruction. The novel approach effectively restored contour and soft-tissue coverage in a patient with significant cranial defects.

Area of Science:

  • Neurosurgery
  • Plastic Surgery
  • Biomedical Engineering

Background:

  • Cranial defect reconstruction after surgery is challenging, especially with bone loss and limited soft tissue.
  • Patient-specific implants (PSIs) offer alternatives to traditional methods like revision osteotomy or repeat cranioplasty.

Purpose of the Study:

  • To describe a novel two-stage reconstructive technique for late cranial contour restoration.
  • To evaluate the safety and efficacy of this approach in a patient with residual deformity after previous surgery.

Main Methods:

  • A 19-year-old male with frontal and parietal bone defects underwent a two-stage procedure.
  • Stage 1 involved gradual expansion of a parietal tissue expander.
  • Stage 2 utilized a PSI designed with virtual planning and a galeal flap for soft-tissue coverage.
Keywords:
CAD/CAMcranioplastygaleocapsular flaplate cranial reconstructiontissue expander

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Last Updated: Jun 9, 2026

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Published on: August 24, 2018

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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

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Main Results:

  • The technique successfully corrected frontal and parietal depression and supraorbital retrusion.
  • Vascularized soft-tissue coverage was achieved using a galeocapsular flap and expanded scalp.
  • Satisfactory cranial contour and projection were maintained at 12-month follow-up with no complications.

Conclusions:

  • This two-stage technique combining tissue expansion and patient-specific implants is a safe and effective option.
  • It is suitable for selected patients requiring late cranial reconstruction after prior surgeries.