99 -10 (84) 2025 - Adashvoyev X.A., Xazratkulov R.B. - REMOVAL OF CRANIAL BONE TUMORS WITH SINGLE-STAGE CRANIOPLASTY OF THE SKULL DEFECT

REMOVAL OF CRANIAL BONE TUMORS WITH SINGLE-STAGE CRANIOPLASTY OF THE SKULL DEFECT

Adashvoyev X.A. - Republican Specialized Scientific Practical Medical Center of Neurosurgery (RSSPMCN)

Xazratkulov R.B. - Republican Specialized Scientific Practical Medical Center of Neurosurgery (RSSPMCN)

Boboev J.I. - Republican Specialized Scientific Practical Medical Center of Neurosurgery (RSSPMCN)

Resume

Despite the rapid development of surgical techniques for the removal of cranial bone tumors and reconstructive methods, there is still no systematic concept of surgical treatment for cranial bone neoplasms. Performing immediate reconstruction after tumor resection allows the avoidance of repeated surgical intervention. Preoperative planning of tumor resection margins and preparation of the graft in advance using a 3D stereolithographic model-template makes it possible to achieve radical tumor removal and improves the aesthetic outcome. Objective. To evaluate the clinical effectiveness of single-stage cranioplasty in the surgical treatment of cranial bone tumors using preoperative 3D planning and stereolithographic templates. Materials and methods. The study included 53 patients with cranial bone tumors who were treated at the Republican Specialized Scientific and Practical Medical Center of Neurosurgery between 2023 and 2025. In 48 (90.6%) patients, surgery was performed with the use of stereolithographic templates, which made it possible to predefine the exact resection margins and the shape of the implant. Single-stage cranioplasty was performed in 26 (49.1%) patients. Cosmetic outcomes were assessed according to Odoi’s criteria. Results. The use of STL technologies ensured high accuracy of resection, reduced operative time, and optimal implant fitting. No postoperative complications were observed. The mean Odoi score was 4.6 ± 0.4, corresponding to good and excellent cosmetic results. Patients who underwent single-stage cranioplasty demonstrated higher scores compared to those who underwent delayed reconstruction. Conclusion. Surgical removal of cranial bone tumors with single-stage cranioplasty based on preoperative 3D planning and the use of stereolithographic templates is a highly effective and safe method. This approach ensures precise resection, stable functional outcomes, and excellent aesthetic results, making it optimal for wide clinical application.

Keywords: computer-aided design, stereolithography, single-stage resection and cranioplasty, cranial reconstruction, cranial bone tumors.

First page

567

Last page

577

For citation:Adashvoyev X.A., Xazratkulov R.B., Boboev J.I. - REMOVAL OF CRANIAL BONE TUMORS WITH SINGLE-STAGE CRANIOPLASTY OF THE SKULL DEFECT//New Day in Medicine 10(84)2025 567-577 https://newdayworldmedicine.com/en/new_day_medicine/10-84-2025

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