One-stage Surgery for Malignant Skull and Scalp Tumor: Navigation-guided Tumor Resection and Cranioplasty Using Custom-made Implants: Technical Note Article Swipe
Sho Osawa
,
Makoto Ohno
,
Shunsuke Yanagisawa
,
Yasuji Miyakita
,
Masamichi Takahashi
,
Shohei Fujita
,
Takahiro Tsuchiya
,
Shintaro Iwata
,
Koichi Ogura
,
Masaki Arikawa
,
Satoshi Akazawa
,
Yoshitaka Narita
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.2176/jns-nmc.2025-0167
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.2176/jns-nmc.2025-0167
One-stage tumor resection and cranioplasty for skull tumors using custom-made implants are beneficial for reducing patient burden, minimizing complications, and improving cosmetic outcomes. However, accurately determining the craniotomy line remains challenging. This technical note describes a method for integrating implant design data into a navigation system to facilitate accurate 1-stage surgery for skull and scalp tumors. Merged images of the implant design data and preoperative computed tomography scans were created. The craniotomy line was determined using a navigation system with merged images. After tumor resection, cranioplasty was performed using a custom-made implant. We applied this technique in 2 patients with metastatic skull tumors and 2 with primary scalp sarcomas with skull invasion. Gross total resection was achieved in all patients. The resection area was expanded beyond the preplanned margins in 2 cases because of tumor progression; the bone defects were filled or covered with bone cement or titanium plates, with positive cosmetic results. The alignment between the implants and skull was satisfactory, and no postoperative complications were observed. This technique enables accurate, efficient, and safe 1-stage surgery by ensuring precise osteotomy and optimal implant fitting in skull and scalp tumors.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.2176/jns-nmc.2025-0167
- https://www.jstage.jst.go.jp/article/nmc/advpub/0/advpub_2025-0167/_pdf
- OA Status
- gold
- References
- 17
- OpenAlex ID
- https://openalex.org/W4415715294
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4415715294Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.2176/jns-nmc.2025-0167Digital Object Identifier
- Title
-
One-stage Surgery for Malignant Skull and Scalp Tumor: Navigation-guided Tumor Resection and Cranioplasty Using Custom-made Implants: Technical NoteWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-01-01Full publication date if available
- Authors
-
Sho Osawa, Makoto Ohno, Shunsuke Yanagisawa, Yasuji Miyakita, Masamichi Takahashi, Shohei Fujita, Takahiro Tsuchiya, Shintaro Iwata, Koichi Ogura, Masaki Arikawa, Satoshi Akazawa, Yoshitaka NaritaList of authors in order
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-
https://doi.org/10.2176/jns-nmc.2025-0167Publisher landing page
- PDF URL
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https://www.jstage.jst.go.jp/article/nmc/advpub/0/advpub_2025-0167/_pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.jstage.jst.go.jp/article/nmc/advpub/0/advpub_2025-0167/_pdfDirect OA link when available
- Cited by
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0Total citation count in OpenAlex
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17Number of works referenced by this work
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| best_oa_location.source.display_name | Neurologia medico-chirurgica |
| best_oa_location.source.host_organization | https://openalex.org/P4310313358 |
| best_oa_location.source.host_organization_name | Japan Neurological Society |
| best_oa_location.source.host_organization_lineage | https://openalex.org/P4310313358 |
| best_oa_location.license | cc-by-nc-nd |
| best_oa_location.pdf_url | https://www.jstage.jst.go.jp/article/nmc/advpub/0/advpub_2025-0167/_pdf |
| best_oa_location.version | publishedVersion |
| best_oa_location.raw_type | journal-article |
| best_oa_location.license_id | https://openalex.org/licenses/cc-by-nc-nd |
| best_oa_location.is_accepted | True |
| best_oa_location.is_published | True |
| best_oa_location.raw_source_name | Neurologia medico-chirurgica |
| best_oa_location.landing_page_url | https://doi.org/10.2176/jns-nmc.2025-0167 |
| primary_location.id | doi:10.2176/jns-nmc.2025-0167 |
| primary_location.is_oa | True |
| primary_location.source.id | https://openalex.org/S170822592 |
| primary_location.source.issn | 0470-8105, 1349-8029 |
| primary_location.source.type | journal |
| primary_location.source.is_oa | True |
| primary_location.source.issn_l | 0470-8105 |
| primary_location.source.is_core | True |
| primary_location.source.is_in_doaj | True |
| primary_location.source.display_name | Neurologia medico-chirurgica |
| primary_location.source.host_organization | https://openalex.org/P4310313358 |
| primary_location.source.host_organization_name | Japan Neurological Society |
| primary_location.source.host_organization_lineage | https://openalex.org/P4310313358 |
| primary_location.license | cc-by-nc-nd |
| primary_location.pdf_url | https://www.jstage.jst.go.jp/article/nmc/advpub/0/advpub_2025-0167/_pdf |
| primary_location.version | publishedVersion |
| primary_location.raw_type | journal-article |
| primary_location.license_id | https://openalex.org/licenses/cc-by-nc-nd |
| primary_location.is_accepted | True |
| primary_location.is_published | True |
| primary_location.raw_source_name | Neurologia medico-chirurgica |
| primary_location.landing_page_url | https://doi.org/10.2176/jns-nmc.2025-0167 |
| publication_date | 2025-01-01 |
| publication_year | 2025 |
| referenced_works | https://openalex.org/W2290031366, https://openalex.org/W1984538586, https://openalex.org/W1127728049, https://openalex.org/W2751849420, https://openalex.org/W2067280409, https://openalex.org/W1988115420, https://openalex.org/W3157257900, https://openalex.org/W3208112926, https://openalex.org/W2416125624, https://openalex.org/W2571350078, https://openalex.org/W2141726739, https://openalex.org/W3116577735, https://openalex.org/W4393185555, https://openalex.org/W2042897091, https://openalex.org/W1991481916, https://openalex.org/W4306777971, https://openalex.org/W4366091868 |
| referenced_works_count | 17 |
| abstract_inverted_index.2 | 97, 104, 130 |
| abstract_inverted_index.a | 35, 43, 76, 89 |
| abstract_inverted_index.We | 92 |
| abstract_inverted_index.by | 177 |
| abstract_inverted_index.in | 96, 117, 129, 185 |
| abstract_inverted_index.no | 163 |
| abstract_inverted_index.of | 58, 133 |
| abstract_inverted_index.or | 141, 146 |
| abstract_inverted_index.to | 46 |
| abstract_inverted_index.The | 70, 120, 153 |
| abstract_inverted_index.all | 118 |
| abstract_inverted_index.and | 3, 19, 53, 63, 103, 158, 162, 173, 181, 187 |
| abstract_inverted_index.are | 11 |
| abstract_inverted_index.for | 5, 13, 37, 51 |
| abstract_inverted_index.the | 26, 59, 126, 136, 156 |
| abstract_inverted_index.was | 73, 86, 115, 123, 160 |
| abstract_inverted_index.This | 31, 168 |
| abstract_inverted_index.area | 122 |
| abstract_inverted_index.bone | 137, 144 |
| abstract_inverted_index.data | 41, 62 |
| abstract_inverted_index.into | 42 |
| abstract_inverted_index.line | 28, 72 |
| abstract_inverted_index.note | 33 |
| abstract_inverted_index.safe | 174 |
| abstract_inverted_index.this | 94 |
| abstract_inverted_index.were | 68, 139, 166 |
| abstract_inverted_index.with | 79, 99, 105, 109, 143, 149 |
| abstract_inverted_index.After | 82 |
| abstract_inverted_index.Gross | 112 |
| abstract_inverted_index.cases | 131 |
| abstract_inverted_index.scalp | 54, 107, 188 |
| abstract_inverted_index.scans | 67 |
| abstract_inverted_index.skull | 6, 52, 101, 110, 159, 186 |
| abstract_inverted_index.total | 113 |
| abstract_inverted_index.tumor | 1, 83, 134 |
| abstract_inverted_index.using | 8, 75, 88 |
| abstract_inverted_index.Merged | 56 |
| abstract_inverted_index.beyond | 125 |
| abstract_inverted_index.cement | 145 |
| abstract_inverted_index.design | 40, 61 |
| abstract_inverted_index.filled | 140 |
| abstract_inverted_index.images | 57 |
| abstract_inverted_index.merged | 80 |
| abstract_inverted_index.method | 36 |
| abstract_inverted_index.system | 45, 78 |
| abstract_inverted_index.tumors | 7, 102 |
| abstract_inverted_index.1-stage | 49, 175 |
| abstract_inverted_index.applied | 93 |
| abstract_inverted_index.because | 132 |
| abstract_inverted_index.between | 155 |
| abstract_inverted_index.burden, | 16 |
| abstract_inverted_index.covered | 142 |
| abstract_inverted_index.defects | 138 |
| abstract_inverted_index.enables | 170 |
| abstract_inverted_index.fitting | 184 |
| abstract_inverted_index.images. | 81 |
| abstract_inverted_index.implant | 39, 60, 183 |
| abstract_inverted_index.margins | 128 |
| abstract_inverted_index.optimal | 182 |
| abstract_inverted_index.patient | 15 |
| abstract_inverted_index.plates, | 148 |
| abstract_inverted_index.precise | 179 |
| abstract_inverted_index.primary | 106 |
| abstract_inverted_index.remains | 29 |
| abstract_inverted_index.surgery | 50, 176 |
| abstract_inverted_index.tumors. | 55, 189 |
| abstract_inverted_index.However, | 23 |
| abstract_inverted_index.accurate | 48 |
| abstract_inverted_index.achieved | 116 |
| abstract_inverted_index.computed | 65 |
| abstract_inverted_index.cosmetic | 21, 151 |
| abstract_inverted_index.created. | 69 |
| abstract_inverted_index.ensuring | 178 |
| abstract_inverted_index.expanded | 124 |
| abstract_inverted_index.implant. | 91 |
| abstract_inverted_index.implants | 10, 157 |
| abstract_inverted_index.patients | 98 |
| abstract_inverted_index.positive | 150 |
| abstract_inverted_index.reducing | 14 |
| abstract_inverted_index.results. | 152 |
| abstract_inverted_index.sarcomas | 108 |
| abstract_inverted_index.titanium | 147 |
| abstract_inverted_index.One-stage | 0 |
| abstract_inverted_index.accurate, | 171 |
| abstract_inverted_index.alignment | 154 |
| abstract_inverted_index.describes | 34 |
| abstract_inverted_index.improving | 20 |
| abstract_inverted_index.invasion. | 111 |
| abstract_inverted_index.observed. | 167 |
| abstract_inverted_index.osteotomy | 180 |
| abstract_inverted_index.outcomes. | 22 |
| abstract_inverted_index.patients. | 119 |
| abstract_inverted_index.performed | 87 |
| abstract_inverted_index.resection | 2, 114, 121 |
| abstract_inverted_index.technical | 32 |
| abstract_inverted_index.technique | 95, 169 |
| abstract_inverted_index.accurately | 24 |
| abstract_inverted_index.beneficial | 12 |
| abstract_inverted_index.craniotomy | 27, 71 |
| abstract_inverted_index.determined | 74 |
| abstract_inverted_index.efficient, | 172 |
| abstract_inverted_index.facilitate | 47 |
| abstract_inverted_index.metastatic | 100 |
| abstract_inverted_index.minimizing | 17 |
| abstract_inverted_index.navigation | 44, 77 |
| abstract_inverted_index.preplanned | 127 |
| abstract_inverted_index.resection, | 84 |
| abstract_inverted_index.tomography | 66 |
| abstract_inverted_index.custom-made | 9, 90 |
| abstract_inverted_index.determining | 25 |
| abstract_inverted_index.integrating | 38 |
| abstract_inverted_index.challenging. | 30 |
| abstract_inverted_index.cranioplasty | 4, 85 |
| abstract_inverted_index.preoperative | 64 |
| abstract_inverted_index.progression; | 135 |
| abstract_inverted_index.complications | 165 |
| abstract_inverted_index.postoperative | 164 |
| abstract_inverted_index.satisfactory, | 161 |
| abstract_inverted_index.complications, | 18 |
| cited_by_percentile_year | |
| countries_distinct_count | 2 |
| institutions_distinct_count | 12 |
| citation_normalized_percentile |