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Customized 3D-printed PMMA molds yielded satisfactory aesthetics in 87.5% of eight cranioplasty patientsSmall study finds 3D-printed molds help create custom cranioplasty implants with good results

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Key Takeaway
Consider 3D-printed PMMA molds for cranioplasty; 87.5% satisfactory aesthetics in 8 patients with no major complications.

This retrospective case series examined the use of customized polymethylmethacrylate (PMMA) implants fabricated with 3D-printed molds for cranial reconstruction. The study population consisted of eight patients undergoing cranioplasty, with no comparator group or control arm reported. The setting and specific follow-up duration were not reported in the available data.

Regarding procedural efficiency, design time ranged from approximately 1 hour for small defects to 3 hours for larger defects. Printing time ranged from 2 to 3 hours for smaller defects and up to 8 to 10 hours for larger reconstructions. These metrics describe the intraoperative workflow and design phases but do not include statistical comparisons.

Primary clinical outcomes focused on aesthetic results, which were deemed satisfactory in 7 of 8 patients (87.5%). Secondary outcomes included design time, printing time, intraoperative workflow, and aesthetic outcomes. Safety analysis indicated that no major implant-related complications were observed, though serious adverse events and discontinuations were not reported.

Key limitations include the small sample size of eight patients, the retrospective nature of the design, and the absence of a comparator group, which precludes causal inference regarding efficacy or safety. Funding sources and conflicts of interest were not reported. While the practice relevance notes this as a feasible, accessible, and effective technique, particularly for resource-limited settings, the evidence remains limited to a case series. Clinicians should interpret these results with caution until supported by larger, prospective trials.

This study examined a small group of eight patients who underwent cranioplasty to repair cranial defects. The surgeons used customized polymethylmethacrylate implants that were fabricated using 3D-printed molds. The process took about one to three hours to design and two to ten hours to print, depending on the size of the defect.

After the surgery, the team evaluated the results and found that aesthetic outcomes were satisfactory in 7 of the 8 patients, which is 87.5%. No major implant-related complications were observed during the follow-up period, though the length of follow-up was not reported in the study.

The authors suggest this technique is feasible and accessible, particularly for resource-limited settings. Readers should understand that because the study involved only eight patients and was a retrospective case series, the findings are preliminary. More research is needed to confirm if this approach is effective and safe for a wider population before it becomes a standard recommendation.

What this means for you:
Small study of 8 patients shows promising results for 3D-printed cranioplasty molds with no major complications.

Study Details

Sample sizen = 8
EvidenceLevel 5
PublishedApr 2026
View Original Abstract ↓
BACKGROUND: Cranioplasty is an essential procedure to restore cranial integrity, protect neural structures, and improve cosmetic outcomes. However, commercially available implants are often costly, limiting their accessibility in public healthcare systems. Three dimensional (3D) printing offers a low cost alternative for producing patient-specific solutions. METHODS: A retrospective case series of eight patients undergoing cranioplasty using customized polymethylmethacrylate (PMMA) implants fabricated with 3D printed molds was conducted. Computed tomography (CT) scans were used for segmentation and digital modeling. Patient specific molds were designed and printed preoperatively. Variables analyzed included design time, printing time, intraoperative workflow, and clinical outcomes. RESULTS: Design time ranged from approximately 1 hour for small defects to 3 hours for larger defects. Printing time ranged from 2 3 hours for smaller defects and up to 8 10 hours for larger reconstructions. Satisfactory aesthetic outcomes were achieved in 7 of 8 patients (87.5%). No major implant related complications were observed. CONCLUSION: Low cost 3D printing for PMMA cranioplasty is a feasible, accessible, and effective technique for cranial reconstruction, particularly in resource limited settings. Keywords: Cranioplasty; 3D printing; Cranial defect reconstruction; Low cost surgery; Patient specific implants; Polymethylmethacrylate; Skull reconstruction
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