Review of "Quantitative Analysis of Dual-Purpose, Patient-Specific Craniofacial Implants for Correction of Temporal Deformity" by Zhong S, Huang GJ, Susarla SM, Swanson EW, Huang J, Gordon CR in Neurosurgery 11: 220-229, 2015.
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ranioplasty for cranial vault defects has been practiced C successfully for many years now. The technique for this operation has gone through numerous iterations. Currently many implants are made specifically for the patient based on preoperative imaging data. These implants come ready-to-secure to the defect once it has been fully defined intraoperatively. The shortcoming of this operation remains the soft tissue response. These implants are made strictly based on the skeletal defect and not any soft tissue deficiencies, such as those most commonly seen in the temporal region. This is particularly important as temporal hollowing is a common side-effect of trauma or surgeries involving the skull. Currently available computerdesigned patient-specific implants do nothing to address this. In this study, the authors evaluated a series of patients treated with customized implants designed with an inferolateral extension to provide bulk in the region of the temporal area. Specifically, the