2nd Edition of Dermatology and Plastic Surgery World Conference 2026
Speakers - DPSWC2026
Daniel Tenorio
Daniel Tenorio
- Designation: Hospital General Atizapan
- Country: Mexico
- Title: Low Cost Patient Specific 3D Printed PGLA Implant for Holocranial Reconstruction in Gorham Stout Disease
Abstract
Gorham Stout disease is a rare lymphangiogenic osteolytic disorder, with fewer than 400 cases globally. Holocranial involvement, causing near total loss of the frontal, parietal, temporal, and occipital bones, is among the most severe and technically challenging forms . The absence of calvarial bone prevents standard fixation, and chronic scalp thinning increases the risk of wound failure and implant exposure. A 40 year old male with biopsy confirmed Gorham Stout disease and a decade of progressive cranial deformity underwent total cranial vault reconstruction. Preoperative CT showed near complete holocranial osteolysis with intact intracranial structures. Surgery used a bicoronal approach a titanium mesh restored the left supraorbital rim, followed by assembly of a patient specific, modular, 3D printed PGLA cranial implant designed via virtual surgical planning. Postoperative wound complications, management, and functional and quality of life outcomes were assessed.
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