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CASE REPORT article
Front. Vet. Sci.
Sec. Veterinary Neurology and Neurosurgery
Volume 11 - 2024 |
doi: 10.3389/fvets.2024.1459272
ONE-STAGE CRANIECTOMY AND CRANIOPLASTY DIGITAL WORKFLOW FOR THREE-DIMENSIONAL (3D) PRINTED POLYETHERETHERKETONE (PEEK) IMPLANT FOR AN EXTENSIVE SKULL MULTILOBULAR OSTEOCHONDOSARCOMA IN A DOG
Provisionally accepted- 1 AniCura Tierklinik Thun, Thun, Switzerland
- 2 Department of Oral and Maxillofacial Surgery, University Hospital of Basel, Basel, Switzerland
- 3 Vet Pixel, Kochersberg, France
- 4 Neurocentre, Vetsuisse Faculty, University of Bern, Bern, Bern, Switzerland
Objective: To report a digital workflow for use and long-term outcome of cranioplasty with a 3D-printed patient-specific Polyetheretherketone (PEEK) implant in a 12-y-old German Shepherd dog after surgical removal of an extensive occipital bone multilobular osteochondrosarcoma (MLO).Animal: A 12-year-old neutered female German Shepherd dog was presented with facial deformity, blindness, tetraparesis, and ataxia. Magnetic resonance imaging (MRI) and computed tomography (CT) identified a large skull-based mass extending extra-and intracranially with severe compression of the cerebellum and occipital lobes of the cerebrum.Methods: One-stage decompressive craniectomy using virtual surgical planned 3D-printed craniotomy cutting guides and the Misonix BoneScalpel® and reconstruction with a patientspecific 3D-printed PEEK cranial implant.Results: 3D-printed craniectomy cutting guides allowed an adequate fit of the cranial implant to the original skull. Misonix BoneScalpel® allowed performing a safe and extensive craniectomy. Postoperative CT (8 weeks after surgery) confirmed the PEEK cranial implant to be in place and without implant rejection. Clinically, the neurological examination identified only a right-hind limb delay in proprioception 8 weeks postoperatively, which remained unchanged at 18 months after surgery. Adjunctive treatment included metronomic chemotherapy. Eighteen months after surgery the dog passed away for reasons unrelated to the MLO, no implant-related complications were reported.3D-printed craniectomy cutting guides, patient-specific PEEK cranial implant, and metronomic chemotherapy can lead to a successful long-term outcome in dogs with extensive skull MLO.Clinical Significance: PEEK is an alternative biomaterial that can be used successfully for 53 skull reconstruction.
Keywords: Craniotomy, Craniectomy, PEEK - Polyether Ether Ketone, multilobular osteochondroma, dog
Received: 03 Jul 2024; Accepted: 25 Jul 2024.
Copyright: © 2024 Hobert, Sharma, Benzimra, Hinden, Oevermann, maintz, Beyer, Thieringer and Guevar. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Florian M. Thieringer, Department of Oral and Maxillofacial Surgery, University Hospital of Basel, Basel, 4056, Switzerland
Julien Guevar, AniCura Tierklinik Thun, Thun, Switzerland
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