Skull Base 2009; 19(2): 163-170
DOI: 10.1055/s-0028-1096199
CASE REPORT

© Thieme Medical Publishers

Spheno-orbital Reconstruction after Meningioma Resection

Michael B. Pritz1 , Richard A. Burgett2
  • 1Department of Neurological Surgery, Indiana University School of Medicine, Indianapolis, Indiana
  • 2Department of Ophthalmology, Indiana University School of Medicine, Indianapolis, Indiana
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Publikationsverlauf

Publikationsdatum:
29. Oktober 2008 (online)

ABSTRACT

This report details a technique for spheno-orbital reconstruction after meningioma resection. The approach uses a life-size skull model generated from a thin-slice craniomaxillofacial computed tomogram. On this skull model, the planned area of bone removal of the involved orbit and sphenoid is outlined on the normal side opposite the lesion. A three-dimensional implant is then generated by reversing the anticipated area of bone resection on the normal side to create a mirror-image implant. This technique resulted in minimal intraoperative implant contouring, decreased surgical time, and satisfactory functional and cosmetic outcome.

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Michael B PritzM.D. Ph.D. 

Department of Neurological Surgery, Indiana University School of Medicine, 545 Barnhill Drive

Emerson 141, Indianapolis, IN 46202-5124

eMail: mpritz@iupui.edu