AI-assisted prostheses manufacturing for cranioplasties in low-income countries. A case report and technique description.

Journal: Journal of surgical case reports
Published Date:

Abstract

Cranioplasty restores skull integrity after decompressive craniectomy, but high costs limit access in low-resource settings. This case highlights an artificial intelligence (AI)-assisted design method for a low-cost, patient-specific cranial prosthesis. A 15-year-old male with a traumatic brain injury and left intraparenchymal hematoma underwent cranioplasty complicated by infection and necrosis. A second procedure obtained positive outcomes using a custom AI-designed prosthesis generated from computed tomography imaging, 3D modeling, and polymethylmethacrylate fabrication. AI-enabled modeling ensured precise anatomical fit, reducing intraoperative adjustments and overcoming limitations of manual techniques. This approach enhances surgical outcomes and prosthesis accessibility in resource-limited settings. AI improves the design of cranial prostheses, lowering costs and production time. Its application could be cost-effective, especially in low-resource settings.

Authors

  • Carlos Eduardo Duque
    Clínica de Simulación Médica y Robótica, Facultad de Ciencias Médicas, Universidad Central del Ecuador, Iquique & Sodiro, Quito-Pichincha 170521, Ecuador.
  • Lelys Arévalo-Valdivieso
    Unidad Quirúrgica Pediátrica Neonatal, Hospital Gineco-obstétrico Pediátrico Nueva Aurora, Quitumbe Ñan Ave., Quito-Pichincha 170702, Ecuador.
  • Cristian Reino
    Servicio de Cirugía Reconstructiva, Hospital General Docente de Riobamba, Juan Féliz Proaño Ave., Riobamba-Chimborazo 060111, Ecuador.
  • Alejandro Gallegos-Correa
    Clínica de Simulación Médica y Robótica, Facultad de Ciencias Médicas, Universidad Central del Ecuador, Iquique & Sodiro, Quito-Pichincha 170521, Ecuador.
  • Daniel Peñaherrera-Vásquez
    Facultad de Ciencias Médicas, Universidad Central del Ecuador, Iquique & Sodiro, Quito-Pichincha 170521, Ecuador.
  • Luis Fuenmayor-González
    Facultad de Ciencias Médicas, Universidad Central del Ecuador, Iquique & Sodiro, Quito-Pichincha 170521, Ecuador.

Keywords

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