Case 02 · Complex case
A large, left-sided cranial defect extending through a temporal cut - reconstructed as a single patient-specific implant spanning most of the skull's dome, with a perforated lattice for osseointegration.
This defect covered far more surface area than a typical cranioplasty - a large left-sided section of the skull, with the defect margin running down through a temporal cut rather than stopping at the crown. A single implant this size has to do two things at once: follow a long, irregular defect boundary precisely, and stay light enough, through the perforated lattice, to encourage real bone integration rather than just sit as a cap over the gap.
The implant spans most of the left side of the skull's dome, well beyond a typical single-defect plate - designed as one continuous piece rather than segmented parts.
The defect boundary extends down through a temporal cut, so the implant edge had to be planned along a more complex, curved margin than a purely cranial defect.
A dot-pattern perforation across the implant body allows bone and tissue to integrate with the plate over time, rather than leaving a solid barrier.
Anchor points are positioned along stable bone at the defect margin, keeping the implant secured without interfering with the perforated field.
Implant design
The full extent of the defect and the implant's fit are easiest to read from the front three-quarter and lateral angles - showing how far the reconstruction runs past the crown and down toward the temple.
The bigger the defect, the less room there is to get the margin wrong - every centimetre of that boundary has to be planned, not approximated.
Large or irregular defects are exactly where a patient-specific approach matters most. Send over the DICOM data and a brief description - I'll confirm feasibility within a few hours.
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