Open AccessOutcomes of Cranioplasty after Craniectomy
Author(s) -
Samra Majeed,
Ajmal Khan,
M. Irfan,
Shahzaib Tasdique,
Azam Niaz,
Waqar Azim,
Anjum Habib Vohra
Publication year - 2022
Publication title -
pakistan journal of neurological surgery
Language(s) - English
Resource type - Journals
eISSN - 2409-5567
pISSN - 1995-8811
DOI - 10.36552/pjns.v26i1.649
Subject(s) - cranioplasty , medicine , decompressive craniectomy , surgery , neurosurgery , complication , polymethyl methacrylate , craniotomy , skull , traumatic brain injury , materials science , psychiatry , composite material , polymer
Objective: Craniectomy is a widely used procedure in neurosurgery that results in more cranioplasties to repair skull defects. The complication rate after cranioplasties seems to be higher than elective craniotomies so this study was conducted to determine the outcome of cranioplasty after craniectomy.
Materials & Methods: The patients included in this study had craniectomy and cranioplasty for any indication. Patients included had variables, such as age, sex, underlying pathology, craniectomy and cranioplasty dates, the material used for cranioplasty (autologous bone or methyl methacrylate), and methods of cranioplasty flap fixation (sutures or titanium plates and screws) follow up period and complications.
Results: It was concluded that patients in the age group of 41 – 60 years (5 cases), males (7 cases), cranioplasty performed after 6 months (5cases) with autologous bone graft (8cases) were associated with more complications.
Conclusion: The overall rate of complications associated with cranioplasties is not negligible, however, early cranioplasty in young patients with the use of polymethyl methacrylate may be associated with less complication rate.
Keywords: Decompressive, Craniectomy, Cranioplasty, Autologous, Polymethyl Methacrylate