Cranioplasty in Children

Blair, G. A. S.; Gordon, Danica; Simpson, Donald

doi:10.1159/000119889

Cited by 16 publications

(13 citation statements)

References 7 publications

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“…2,4,6,8,9,14 Five of these studies included only patients who had had decompressive craniectomy, while the study by Blair et al…”

Section: Methods Of Storagementioning

confidence: 99%

“…2,6,8,9 For the remaining 2 studies, Piedra et al reported 4 infections in 61 patients, and Bowers et al reported 9 infections in 54 patients. 4,14 A comparison of the 6 studies that involved using frozen bone with the 1 study that involved using bone stored at room temperature, as above, suggests that frozen bone storage yields a lower risk of infection (OR 0.32, 95% CI 0.08-1.30, p = 0.103).…”

Section: Methods Of Storagementioning

confidence: 99%

“…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%

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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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“…2,4,6,8,9,14 Five of these studies included only patients who had had decompressive craniectomy, while the study by Blair et al…”

Section: Methods Of Storagementioning

confidence: 99%

Section: Methods Of Storagementioning

confidence: 99%

Section: Materials Usedmentioning

confidence: 99%

Section: Materials Usedmentioning

confidence: 99%

See 2 more Smart Citations

Outcomes of cranioplasty following decompressive craniectomy in the pediatric population

Rocque

Amancherla

Lew

et al. 2013

PED

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“…11,17,29,127 In a recent retrospective analysis by Williams et ) with no noted complications after 1 year of follow-up. 128 Radiographic attenuation caused by metallic cranioplasty can create imaging artifacts with CT scans and radiographs.…”

Section: 101mentioning

confidence: 98%

Evolution of cranioplasty techniques in neurosurgery: historical review, pediatric considerations, and current trends

Feroze

Walmsley

Choudhri

et al. 2015

JNS

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Cranial bone repair is one of the oldest neurosurgical practices. Reconstructing the natural contours of the skull has challenged the ingenuity of surgeons from antiquity to the present day. Given the continuous improvement of neurosurgical and emergency care over the past century, more patients survive such head injuries, thus necessitating more than ever before a simple, safe, and durable means of correcting skull defects. In response, numerous techniques and materials have been devised as the art of cranioplasty has progressed. Although the goals of cranioplasty remain the same, the evolution of techniques and diversity of materials used serves as testimony to the complexity of this task. This paper highlights the evolution of these materials and techniques, with a particular focus on the implications for managing pediatric calvarial repair and emerging trends within the field.

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