Predictors of Clinical Outcomes in Autologous Cranioplasty

Safi, Saleh; Ali, Arshad; Abdelhafez, Ibrahim; Salam, Abdul; Alrabayah, Talal; Alyafei, Abdulnasser; Belkhair, Sirajeddin

doi:10.1016/j.wneu.2022.08.043

Cited by 6 publications

(2 citation statements)

References 43 publications

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“…Disability will be affected by the location of DC, but primarily by the severity and type of potential brain injury. During induction and surgery, antibiotics are frequently used, but it is unclear how often and how much antibiotics are used for surgical site infections after surgery [5].…”

Section: Methodology and Considerationsmentioning

confidence: 99%

Historical Review and Current Progress of the Cranioplasty

Zhang¹

2023

HSET

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Cranialplasty is one of the typical neurosurgical procedures.As a result of their aesthetics and biocompatibility, autologous grafts are chosen. Numerous patients with skull defects experience local scalp depression as a result of atmospheric pressure, which can cause an imbalance in intracranial pressure, displacement of brain tissue, reduction in cerebral hemispheric blood flow, and problems with cerebrospinal fluid circulation, all of which can result in a variety of clinical manifestations. Then cranioplasty can effectively restore normal cerebrospinal fluid dynamics and cerebral cortical blood perfusion, which is conducive to reducing intracranial complications and assisting in the restoration of neurological function. It can also repair skull defects, restore the patient's skull appearance and protective function. This paper's goal is to investigate a foundation for the viability and timeliness of cranioplasty, This paper discussed the history of cranioplasty, the pathophysiological effects of recovery, complications, and rehabilitation issues from both qualitative and quantitative viewpoints. According to the average cranioplasty score, having a procedure done within three months following a traumatic DC may help with neurological function recovery. In addition, effective communication between the surgical team and the rehabilitation staff is crucial for maximizing recovery and enhancing results.

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Section: Methodology and Considerationsmentioning

confidence: 99%

Historical Review and Current Progress of the Cranioplasty

Zhang¹

2023

HSET

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“…C ranial defects are a common neurosurgical condition and may be caused by multiple mechanisms necessitating craniectomy, such as severe traumatic brain injury, intracranial hematoma, and intracranial tumors. [1][2][3] Cranial defects cause not only irreversible damage to the neurological function and cognition of patients but also self-image issues. 4,5 Therefore, cranioplasty has become a common procedure for patients with cranial defects.…”

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confidence: 99%

Clinical Outcomes After Cranioplasty With Titanium Mesh, Polyetheretherketone, or Composite Bone Cement: A Retrospective Study

Chen

Liang

Zhu

et al. 2023

Journal of Craniofacial Surgery

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Cranioplasty is a common neurosurgical procedure; however, the optimal material choice remains controversial. At the time of this writing, autologous bone, the preferred choice for primary cranioplasty, has a high incidence of complications such as infection and resorption, thus requiring frequent use of synthetic materials. Therefore, this study aimed to compare the clinical benefits of titanium mesh (Ti), polyetheretherketone (PEEK), and composite bone cement (CBC) in cranioplasty to provide a clear selection basis for clinicians and patients. This study retrospectively collected data from 207 patients who underwent cranioplasty with Ti (n=129), PEEK (n=54), and CBC (n=24) between January 2018 and December 2020 at Henan Provincial People’s Hospital. Postoperative follow-up information after 6 months was used to compare the long-term effects of the 3 materials on the patients. There were no significant differences in the overall complication rate after cranioplasty among the 3 materials. However, subcutaneous effusion was more frequent with PEEK (24.07%) and CBC (20.83%) than with Ti (2.33%). Second, there were no significant differences in the increase in Glasgow Outcome Scale and Karnofsky Performance Status scores after cranioplasty among the 3 materials. Finally, we found that PEEK had the highest patient satisfaction and hospitalization cost, whereas the opposite was true for Ti. Although the surgical outcomes of the 3 implant materials were similar, an examination of clinical outcomes such as patient satisfaction showed significant differences, deepening people’s perceptions of the 3 materials.

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