Bone flap preservation after decompressive craniectomy--experience with 55 cases.
نویسندگان
چکیده
We describe our experience with the previously described technique of preservation of the bone flap in a subgaleal pocket created over the intact side of the calvaria, discuss our experience of this method and review the literature to compare this method with other alternative techniques.
منابع مشابه
Prospective randomized evaluation of therapeutic decompressive craniectomy in severe traumatic brain injury with mass lesions (PRECIS): study protocol for a controlled trial
BACKGROUND For cases of severe traumatic brain injury, during primary operation, neurosurgeons usually face a dilemma of whether or not to remove the bone flap after mass lesion evacuation. Decompressive craniectomy, which involves expansion of fixed cranial cavity, is used to treat intra-operative brain swelling and post-operative malignant intracranial hypertension. However, due to indefinite...
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OBJECTIVE Resorption of autologous bone flap grafts is a known long-term complication of cranioplasty following decompressive craniectomy (DC). We analyzed our data to identify risk factors for bone flap resorption (BFR) following cranioplasty. METHODS A total of 162 patients who underwent cranioplasty following DC due to life-threatening elevated intracranial pressure between October 2003 an...
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Temporalis muscle reconstruction is a necessary step during frontotemporal cranioplasty ensuing decompressive craniectomy (DC). During this procedure, scarring between the temporalis muscle and the dural layer may lead to complicated muscle dissection, which carries an increased risk of dura and muscle damage. At time of DC, temporalis muscle wrapping by an autologous vascularized dural flap ca...
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BACKGROUND The list of complications reported after decompressive craniectomy (DC) and cranioplasty is progressively increasing. Nonetheless, the exact incidence of these events is still ill-defined. Problems affecting skin flaps after DC and cranioplasty have never been accurately analyzed in papers and their impact on patients' prognosis is largely underestimated. METHODS In a 10-year time,...
متن کاملBone Resorption of Autologous Cranioplasty Following Decompressive Craniectomy in Children
Objective: In pediatric patients, autologous-bone assisted cranioplasty is preferred because the child’s original skull material will become reintegrated. Unfortunately, the replaced bone flap sometimes undergoes bone resorption, which results in structural breakdown necessitating reoperation. We report two children who underwent failure of autologous cranioplsty following decompressive craniec...
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ورودعنوان ژورنال:
- Neurology India
دوره 54 3 شماره
صفحات -
تاریخ انتشار 2006