[1:33 PM, 19/2/2026] Davide Tinelli: Digital evolution of cranial surgery https://share.google/HT884tcO6Lir0gm0t[1:33 PM, 19/2/2026] Davide Tinelli: AI ModeAllImagesVideoNewsProductsBooksFinanceundefinedundefinedundefined13 sitesThe creation of a transparent skullcap with removal of the meninges is an extremely complex operation that requires an integrated approach between biomaterials, robotics and advanced sterile protocols.1. Replacement of the skullcap with glass (Cranioplasty)The material of choice is not common glass, but sapphire glass or transparent alloplastic materials such as PMMA (polymethyl methacrylate) or transparent resins. www.amsvita.comwww.amsvita.com +1 Design: 3D reconstruction of the skull is used to create a custom-made operculum that fits perfectly into the residual bone. Fixation: Anchoring is done using titanium micro-screws to ensure mechanical stability and protection of the brain tissue. www.cranioplastica.itwww.cranioplastica.it +12. Removal of the meninges and protection. Removal of the dura mater (meningectomy) exposes the brain to fatal risks. To maintain "brain continuity" and protection: Meningeal substitutes: It is essential to use a patch of heterologous or autologous material (e.g., bovine pericardium or synthetic collagen) to isolate the cerebrospinal fluid and avoid direct compression of the glass on the parenchyma. Sealing: Fibrinogen glues are used to ensure a watertight seal and prevent cerebrospinal fluid fistulas. Dr. Filippo Gagliardi - NeurosurgeonDr. Filippo Gagliardi - Neurosurgeon3. Monitoring with Sensor Fusion: Postoperative monitoring can be optimized through intraoperative and digital neuromonitoring technologies: Data Integration: Intracranial pressure (ICP), temperature, and oxygenation sensors can be integrated into the transparent prosthesis. Visualization: The use of digital platforms and robotic scopes allows the surgeon to visually monitor the area through the transparent material in real time. FacebookFacebook +24. Infection Prevention: Infections are the main challenge in cranioplasty. Strategies include: iris univpmiris univpm +1 Antibiotic Prophylaxis: Administration of appropriate antibiotics (PAP) within 120 minutes of incision. Skin Preparation: Strict antisepsis with alcohol-based solutions and management of the surgical site according to NICE guidelines. Bioactive Materials: Use of prostheses treated with antibacterial agents to reduce bacterial adhesion (e.g., Staphylococcus aureus). InfezMedInfezMed +2Want to learn more about specific biocompatible materials for transparency or mechanical fixation techniques for prosthetics?For informational purposes only. For medical advice or a diagnosis, please consult a professional. AI responses may contain errors. Learn moreRecurrent Enterobacteriaceae infection of cranial prosthesis...InfezMedCraniotomy -