Review of Cranioplasty after Decompressive Craniectomy

Cho, Yong Jun; Kang, Suk Hyung

doi:10.13004/kjnt.2017.13.1.9

Cited by 67 publications

(53 citation statements)

References 52 publications

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“…There are many reports about cranioplasty in literatures such as case series, case-control study, cohort [8].…”

Section: Discussionmentioning

confidence: 99%

Cranioplasty with polymethyl methacrylate implant: solutions of pitfalls

El-Ghani

2018

Egypt J Neurosurg

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Background: Cranioplasty is important to cover defects following skull surgery and trauma for restoration of function and cosmoses. The objective of the study is to describe the author's technical experience with the use of polymethyl methacrylate (PMMA) implant for cranioplasty to achieve the best results and avoid complications. Methods: The author describes the indications, locations and operative techniques of cranioplasty using polymethyl methacrylate (PMMA) implant for 75 patients. The implant was used to cover any small-or medium-sized (< 8 cm) cranial defect. Techniques have been done to facilitate reconstruction and to avoid complications to get excellent outcome. Results: This implant has been utilized in cases with excellent cosmetic results and no implant-related complications. Conclusions: Polymethyl methacrylate cranioplasty is a widely performed neurosurgical procedure with good cosmetic outcome and with little related implant complications when done in the proper time and proper techniques.

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“…There are many reports about cranioplasty in literatures such as case series, case-control study, cohort [8].…”

Section: Discussionmentioning

confidence: 99%

Cranioplasty with polymethyl methacrylate implant: solutions of pitfalls

El-Ghani

2018

Egypt J Neurosurg

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“…Cranioplasty is performed mostly after traumatic injuries, tumor removal, or decompressive craniectomies 209 in order to protect the brain and achieve a natural appearance. 209 , 210 Among other characteristics, the ideal material should then be easy to shape, radiolucent, resistant to infections, biocompatible, firm, and stable. 209 , 210 Apart from some metals (titanium, tantrum, etc.…”

Section: Bone Substitutesmentioning

confidence: 99%

Bone substitutes: a review of their characteristics, clinical use, and perspectives for large bone defects management

et al. 2018

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Bone replacement might have been practiced for centuries with various materials of natural origin, but had rarely met success until the late 19th century. Nowadays, many different bone substitutes can be used. They can be either derived from biological products such as demineralized bone matrix, platelet-rich plasma, hydroxyapatite, adjunction of growth factors (like bone morphogenetic protein) or synthetic such as calcium sulfate, tri-calcium phosphate ceramics, bioactive glasses, or polymer-based substitutes. All these substitutes are not suitable for every clinical use, and they have to be chosen selectively depending on their purpose. Thus, this review aims to highlight the principal characteristics of the most commonly used bone substitutes and to give some directions concerning their clinical use, as spine fusion, open-wedge tibial osteotomy, long bone fracture, oral and maxillofacial surgery, or periodontal treatments. However, the main limitations to bone substitutes use remain the management of large defects and the lack of vascularization in their central part, which is likely to appear following their utilization. In the field of bone tissue engineering, developing porous synthetic substitutes able to support a faster and a wider vascularization within their structure seems to be a promising way of research.

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“…Both procedures have been widely used and have distinctive advantages and disadvantages, for instance, patients without dura repair may have increased risk of CSF leakage and infection, while have better decompressive effect. In the meantime, dura repair with ADM may cause foreign body reaction and tissue capsule formation; however, it prevents CSF leakage and reduces the risk of intracranial infection (Cho & Kang, ; Zhang et al., ). So far there lacks of large clinical studies to compare clinical outcomes of both procedures in TBI patients.…”

Section: Introductionmentioning

confidence: 99%

Large retrospective study of artificial dura substitute in patients with traumatic brain injury undergo decompressive craniectomy

et al. 2018

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BackgroundDecompressive craniectomy is widely used for treating patients with traumatic brain injury (TBI). Usually patients have dura mater defect due to surgery or injury itself. The defective area may left open or repaired by artificial dura substitutes. A variety of artificial dura substitutes have been used for this purpose.ObjectiveThis study aimed to evaluate bovine‐derived pericardium membrane as artificial dural material for patients with decompressive craniectomy.MethodsTotally 387 patients with severe TBI in our hospital were included in this study. Among them, 192 patients were treated with standard decompressive craniectomy without dura repair (control group). One hundred and ninety‐five TBI patients were treated with dura repair by artificial dura materials (ADM). Nonlyophilized bovine pericardium membranes were used as artificial dura material. The postoperative complications were compared in both groups, including infection, seizure, and cerebrospinal fluid (CSF) leakage.ResultsPatients in control group have higher complication rates than patients in ADM group, including subcutaneous hematoma (13.02% in control vs. 4.01% in ADM group, p = .004), infection (12.5% in control vs. 5.64% in ADM group, p = .021), CSF leakage (13.02% in control vs. 5.13% in ADM group, p = .012), and seizure (10.42% in control vs. 3.08% in ADM group, p = .007). Patients in ADM group are only associated with higher incidence of foreign body reaction (6 of 195 patients in ADM vs. none from control group).ConclusionBovine‐derived pericardium membranes are successfully used as artificial dural substitutes for decompressive craniectomy. Patients with ADM have better clinical outcome than control group.

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Review of Cranioplasty after Decompressive Craniectomy

Cited by 67 publications

References 52 publications

Cranioplasty with polymethyl methacrylate implant: solutions of pitfalls

Cranioplasty with polymethyl methacrylate implant: solutions of pitfalls

Bone substitutes: a review of their characteristics, clinical use, and perspectives for large bone defects management

Large retrospective study of artificial dura substitute in patients with traumatic brain injury undergo decompressive craniectomy

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