Cranioplasty in children

Josan, Vivek; Sgouros, Spyros; Walsh, A. R.; Dover, M.S.; Nishikawa, Hiroshi; Hockley, A. D.

doi:10.1007/s00381-004-1068-2

Cited by 100 publications

(84 citation statements)

References 16 publications

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“…12 Of the 14 patients in this study who underwent a total of 16 cranioplasties with stored bone, 12 had previously undergone decompressive craniectomy. Details regarding complications occurring in the decompressive craniectomy subset are not available, although the authors state that the indication for craniectomy had no effect on the rate of resorption or infection determined using a linear regression model.…”

Section: Methods Of Storagementioning

confidence: 99%

“…4,8,12,14 Articles by Grant et al 8 and Josan et al 12 state that the authors found no significant correlation between time to reimplantation and postcranioplasty complication. However, neither paper provides details about time to reimplantation or the specific effect that this factor has on complication rate in either the univariate or multivariate analysis.…”

Section: Timing Of Cranioplastymentioning

confidence: 97%

“…In the studies included in this review, a variety of materials were used to repair the cranial defect, including fresh autograft, either rib or calvaria, harvested at the time of the cranioplasty; 2,12,15,16,18 autograft that had been stored in either a freezer or at room temperature; 2,6,8,9,12,14,15 titanium; 2,12 and methyl methacrylate. 2,3,9,12,15 Most of the studies included patients who had all undergone cranioplasty with the same material, in which case comparison of different materials was not possible.…”

Section: Materials Usedmentioning

confidence: 99%

“…2,3,9,12,15 Most of the studies included patients who had all undergone cranioplasty with the same material, in which case comparison of different materials was not possible. Four of the studies included patients who were treated with different materials; 2,9,12,15 however, none of these studies included a large enough sample of patients to show a difference in the rate of complications associated with the different materials.…”

Section: Materials Usedmentioning

confidence: 99%

“…[5][6][7]12,17 Unfortunately, it is difficult to draw meaningful conclusions from these studies due to their small sample sizes.…”

mentioning

confidence: 99%

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Outcomes of cranioplasty following decompressive craniectomy in the pediatric population

Rocque

Amancherla

Lew

et al. 2013

PED

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Cranioplasty is routinely performed following decompressive craniectomy in both adult and pediatric populations. In adults, this procedure is associated with higher rates of complications than is elective cranial surgery. This study is a review of the literature describing risk factors for complications after cranioplasty surgery in pediatric patients. A systematic search of PubMed, Cochrane, and SCOPUS databases was undertaken. Articles were selected based on their titles and abstracts. Only studies that focused on a pediatric population were included; case reports were excluded. Studies in which the authors assessed bone flap storage method, timing of cranioplasty, material used (synthetic vs autogenous), skull defect size, and/or complication rates (bone resorption and surgical site infection) were selected for further analysis. Eleven studies that included a total of 441 cranioplasties performed in the pediatric population are included in this review. The findings are as follows: 1) Based on analysis of pooled data, using cryopreserved bone flaps during cranioplasty may lead to a higher rate of bone resorption and lower rate of infection than using bone flaps stored at room temperature. 2) In 3 of 4 articles describing the effect of time between craniectomy and cranioplasty on complication rate, the authors found no significant effect, while in 1 the authors found that the incidence of bone resorption was significantly lower in children who had undergone early cranioplasty. Pooling of data was not possible for this analysis. 3) There are insufficient data to assess the effect of cranioplasty material on complication rate when considering only cranioplasties performed to repair decompressive craniectomy defects. However, when considering cranioplasties performed for any indication, those in which freshly harvested autograft is used may have a lower rate of resorption than those in which stored autograft is used. 4) There is no appreciable effect of craniectomy defect size or patient age on complication rate. There is a paucity of articles describing outcomes and complications following cranioplasty in children and adolescents. However, based on the studies examined in this systematic review, there are reasons to suspect that method of flap preservation, timing of surgery, and material used may be significant. Larger prospective and retrospective studies are needed to shed more light on this important issue.

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Section: Methods Of Storagementioning

confidence: 99%