objective: to determine the effects of application of anti-adhesive films (orthowrap™) in traumatic decompressive craniectomy on prevention of adhesion formation and facilitation of subsequent cranioplasty. methods: this was a retrospective cohort study being performed in shahid rajaei hospital (shiraz level i trauma center) during a 12-month period (from march 2012 to april 2013) including 93 ...

Cerebral pressure autoregulation is the specific intrinsic ability of the cerebrovasculature to maintain constant cerebral blood flow over a range of blood pressures. This is generally observed between a mean arterial blood pressure of approximately 50–150 mmHg and it protects against cerebral ischaemia due to hypotension and against excessive flow (malignant hyperaemia) during hypertension, wh...

We present the current state of affairs regarding legal claims patients after cranioplasty operations who are dissatisfied with treatment effect and have that perioperative course is unfavorable. In period 11 years (2010-2020), 2 were submitted in our neurosurgical center cranioplasty. Both civil claims. One them about purulent infection bone prosthesis was found by judgment to be unfounded. Th...

Cranioplasty is a procedure performed to repair defects in the human skull bone by surgically reconstructing shape and function of cranium. Several complications, both intraoperative postoperative, can affect procedure’s outcome (e.g., inaccuracies reconstructed shape, infections, ulcer, necrosis). Although design additive manufactured implants preoperative stage has improved general quality cr...

OBJECTIVE Decompressive craniectomy (DC) requires later cranioplasty (CP) in survivors. However, if additional ventriculoperitoneal shunt (VPS) placement due to shunt-dependent hydrocephalus is necessary, the optimal timing of both procedures still remains controversial. We therefore analyzed our computerized database concerning the optimal timing of CP and VPS regarding postoperative complicat...