Difficult craniotomy and successful 3D printing play an important role

Recently, surgeons at Boston Children's Hospital added 3D printing technology to assist in the operation of a baby with severe brain swelling. In the surgical plan, the doctor printed the deformed skull using 3D printing technology by studying the bulging part of the patient's brain.

Prospective parents Sierra and Dustin Yoder were told that their unborn child, Bentley, had a rare disease called "brain bulging" (also called craniotomy). During routine ultrasound examinations, doctors found that Bentley's brain protruded from the gap in the skull. Doctors judged that Bentley might not be able to survive for a long time, and even if he could, his brain would not work properly.

Sierra and Dustin Yoder accepted this ruthless bad news and decided to see their son and say goodbye. On October 31, 2015, the child was born, and everyone was pleasantly surprised that although the bulging part protruded from the back of Bentley's head, he seemed to have normal brain function. A few months later, Bentley still grows up normally and cries when he is hungry. This young and vigorous life is growing up without fear of challenges.

Bentley was taken to the Cleveland Clinic by his parents when he was four months old. The doctors there thought that the brain used by Bentley was indeed the prominent part, and that swelling the bulge back into the skull was an all-powerful and arduous task. Sierra and Dustin Yoder once again went to Boston Children's Hospital to meet with Dr. John Meera, who was responsible for diagnosing Bentley's condition. They found that the bulging part of Bentley's brain had cognitive, problem-solving and visual functions and therefore could not be removed. Can put it back into the skull again.

Due to the complexity of the surgery, surgeons at Boston Children's Hospital need to hire "foreign aid" - 3D printing technology for their surgical plans. Visual data from brain scans, followed by 3D printing of Bentley's skull model, allows surgeons to prepare for a 3D printed plastic replica before surgery. The 3D printed skull determines how much bulging part of Bentley's skull can be retracted.

This surgery, which lasts for about six hours, will begin on May 24, and Bentley's skull will be strong enough to withstand surgery on this day. The surgeon first expelled the cerebrospinal fluid from Bentley's brain, then further cut the skull and threw the patient's bulging brain back into the skull. Although the surgery went smoothly, Bentley needed to step up the follow-up and treatment process by first adding a shunt and then draining the remaining fluid from his brain.

Bentley is now seven months old and looks healthy, even though doctors are still not sure what his future will be. But Sierra and Dustin Yoder are still full of hope for their son, but refuse to speed up the process: "We have to take it step by step," Sierra told the Washington Post reporter.

A month ago, China also had a similar complex operation. A young patient had a rare disease called a narrow cranial disease. As with Bentley's surgical procedures, surgeons used a 3D printed skull model to aid surgery, giving the one-year-old patient a chance to regenerate. As technology advances, more and more 3D printing aids will be used to assist in precision medical procedures, and the medical 3D printing revolution will be fully developed.

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