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Autologous cranioplasty following decompressive craniectomy in the trauma setting

El Ghoul, Wessam; Harrisson, Stuart and Belli, Antonio (2015) In British Journal of Neurosurgery 29(1). p.64-69
Abstract
Background. Decompressive craniectomy (DC) is an option for the treatment of increased intracranial pressure resulting from an acute neurological insult, including insults caused by trauma. When the brain swelling has receded, the skull is reconstructed with a wide choice of materials, each with its own advantages and disadvantages in terms of cost, cosmetic appearance, biocompatibility, implant strength and complication rate. Autologous cranioplasty (AC), where the patient's own bone flap is stored and reutilised, is common in many countries. No outcome studies have, however, been published on this technique for traumatic injuries. Methods. A retrospective study was conducted including all AC operations performed following DC due to... (More)
Background. Decompressive craniectomy (DC) is an option for the treatment of increased intracranial pressure resulting from an acute neurological insult, including insults caused by trauma. When the brain swelling has receded, the skull is reconstructed with a wide choice of materials, each with its own advantages and disadvantages in terms of cost, cosmetic appearance, biocompatibility, implant strength and complication rate. Autologous cranioplasty (AC), where the patient's own bone flap is stored and reutilised, is common in many countries. No outcome studies have, however, been published on this technique for traumatic injuries. Methods. A retrospective study was conducted including all AC operations performed following DC due to traumatic brain injury. All operations were performed in one institution during a 4-year time period. Results were analysed for complication rates. Results. 44 cases were included. The mean time from craniotomy to cranioplasty was 86 (95% CI: 63-109) days. Complications severe enough to warrant readmission or further surgery were found in 13 cases (30%). No statistically significant predictor of complication from cranioplasty was detected. The complication rate was similar to published data on cranioplasty using artificial prosthetic materials. Conclusions. AC in the trauma setting is a valid treatment option with a complication rate that seems no worse than other alternatives. (Less)
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author
publishing date
type
Contribution to journal
publication status
published
subject
keywords
complications, cranioplasty, decompressive craniectomy, traumatic brain, injury, treatment
in
British Journal of Neurosurgery
volume
29
issue
1
pages
64 - 69
publisher
Taylor & Francis
external identifiers
  • wos:000351644900015
  • scopus:84946101565
ISSN
0268-8697
DOI
10.3109/02688697.2014.957157
language
English
LU publication?
no
id
58328ce6-546f-4227-a64d-4d7d94058278 (old id 5293823)
date added to LUP
2015-05-04 08:33:03
date last changed
2017-10-22 03:21:52
@article{58328ce6-546f-4227-a64d-4d7d94058278,
  abstract     = {Background. Decompressive craniectomy (DC) is an option for the treatment of increased intracranial pressure resulting from an acute neurological insult, including insults caused by trauma. When the brain swelling has receded, the skull is reconstructed with a wide choice of materials, each with its own advantages and disadvantages in terms of cost, cosmetic appearance, biocompatibility, implant strength and complication rate. Autologous cranioplasty (AC), where the patient's own bone flap is stored and reutilised, is common in many countries. No outcome studies have, however, been published on this technique for traumatic injuries. Methods. A retrospective study was conducted including all AC operations performed following DC due to traumatic brain injury. All operations were performed in one institution during a 4-year time period. Results were analysed for complication rates. Results. 44 cases were included. The mean time from craniotomy to cranioplasty was 86 (95% CI: 63-109) days. Complications severe enough to warrant readmission or further surgery were found in 13 cases (30%). No statistically significant predictor of complication from cranioplasty was detected. The complication rate was similar to published data on cranioplasty using artificial prosthetic materials. Conclusions. AC in the trauma setting is a valid treatment option with a complication rate that seems no worse than other alternatives.},
  author       = {El Ghoul, Wessam and Harrisson, Stuart and Belli, Antonio},
  issn         = {0268-8697},
  keyword      = {complications,cranioplasty,decompressive craniectomy,traumatic brain,injury,treatment},
  language     = {eng},
  number       = {1},
  pages        = {64--69},
  publisher    = {Taylor & Francis},
  series       = {British Journal of Neurosurgery},
  title        = {Autologous cranioplasty following decompressive craniectomy in the trauma setting},
  url          = {http://dx.doi.org/10.3109/02688697.2014.957157},
  volume       = {29},
  year         = {2015},
}