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Case study – implantation of Codubix® 3D cranial prosthesis 1

Violeta Senavaitienė

Matopat Representative – Lithuania

22/02/2013

1. Place - Panevezys (Lithuania)

Wszczepienie protezy Codubix 3D_1

On February 14, 2013, a Codubix® 3D (individual skull bone prosthesis) was implanted in the State Hospital in Panevezys.

2. Situation and circumstances

In September 2012 I prepared a presentation for neurosurgeons about Codubix® products. I introduced all the possibilities and advantages.

About two months later I got a call from the hospital. A patient appeared who needed a Codubix® 3D individual prosthesis.

The patient had most of the skull bone removed after a stroke with a large swelling of the brain. It was the only way to save her life. After the operation the patient was fully conscious and active. But there was one problem – how and with what to cover the missing part of the skull.

The product, which was available in the hospital was not sufficient to help with so a damage. It was decided to prepare an individual prosthesis.

3. Actions till the operation

On 5/11/2012 under my leadership all the necessary computer images to prepare an implant imitation were made and sent to the Tricomed company. The company began the process of creating the prosthesis.

First pictures of the prosthesis

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On 13/12/2012 I received the personalised prosthesis.

The doctor set the operation after Christmas, i.e. in late January and early February.

4. Course of the operation

2/14/2013 operation took place, I took part in it

The operation was carried out by two doctors:

1. G. Miliūnas – head of the neurosurgery department

2. V. Janušonis – the patient’s doctor

The operation lasted 3.5 hours. The implantation of the Codubix® 3D prosthesis itself lasted about 30 minutes.

during the operation

Wszczepienie protezy Codubix 3D_5Wszczepienie protezy Codubix 3D_6

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preparing the place for the implant

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after placing the implant

Wszczepienie protezy Codubix 3D_11Wszczepienie protezy Codubix 3D_12

after the operation

Wszczepienie protezy Codubix 3D_13Wszczepienie protezy Codubix 3D_14

5. Time after the surgery

1st day

The patient’s condition is stable, there is no visible signs of possible complications.

Computer image is taken – the implant is in place, no visible haemorrhage.

3rd day

The patient’s condition is stable. The patient is transferred to the general neurosurgery ward.

8th day

The patient feels well. According to the patient’s head does not hurt (without implants often had severe headaches) can sleep well (without implant could only sleep on one side and a special pillow) at any orientation of the head.

6. Doctor’s evaluation

The ward manager and the leading doctor are very satisfied with the results. The individually prepared prosthesis made a great impression on them – as a qualitative, precise and well-adjustable  product. Such a large skull defect 10 x 14 cm could only be filled with Codubix® 3D. The use of other products would not allow for the excision of an appropriate thickness and curvature of the implant, which could lead to many complications.