Comparison of Complications Following Cranioplasty Using a Sterilized Autologous Bone Flap or Polymethyl Methacrylate

Korean Journal of Neurotrauma
Sung Hoon KimMin Ho Kong

Abstract

The aims of current study are to compare complications following cranioplasty (CP) using either sterilized autologous bone or polymethyl methacrylate (PMMA), and to identify the risk factors for two of the most common complications: bone flap resorption (BFR) and surgical site infection (SSI). Between January 2004 and December 2013, 127 patients underwent CP and were followed at least 12 months. Variables, including sex, age, initial diagnosis, time interval between decompressive craniectomy (DC) and CP, operation time, size of bone flap, and presence of ventriculo-peritoneal shunt, were analyzed to identify the risk factors for BFR and SSI. A total of 97 (76.4%) patients underwent CP using PMMA (Group I) and 30 (23.6%) underwent CP using autologous bone (Group II). SSI occurred in 8 (8.2%) patients in Group I, and in 2 (6.7%) in Group II; there was no statistically significant difference between the groups (p=1.00). No statistically significant risk factors for SSI were found in either group. In Group I, there was no reported case of BFR. In Group II patients, BFR developed in 18 (60.0%) patients at the time of CP (Type 1 BFR), and at 12-month follow up (Type 2 BFR) in 4 (13.3%) patients. No statistically significant risk fact...Continue Reading

References

Jan 1, 1990·Acta neurochirurgica·M OsawaY Sugita
Mar 1, 1989·Neurologia Medico-chirurgica·K TokoroK Tsubone
Jan 1, 1971·Acta neurochirurgica·W M Hammon, L G Kempe
Jan 1, 1997·Pediatric Neurosurgery·K S BlumA D Rosenthal
Sep 10, 1998·Stroke; a Journal of Cerebral Circulation·S SchwabW Hacke
Mar 7, 2003·The Journal of Craniofacial Surgery·Andrea Moreira-GonzalezVincent DiNick
Jun 1, 2005·Clinical Neurology and Neurosurgery·Shigeyuki SakamotoKaoru Kurisu
Feb 10, 2006·Acta neurochirurgica·A MatsunoT Nagashima
Jul 29, 2008·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Yu-Kai ChengChen-Nen Chang
Jun 3, 2009·Neurosurgical Focus·M Reid GoochJohn W German
Jul 21, 2009·Journal of Neurosurgery·Victor ChangDonald Seyfried
Nov 8, 2011·Surgical Neurology International·Zain A SobaniMuhammad Ehsan Bari
Nov 9, 2011·Journal of Neurotrauma·Pasquale De BonisAngelo Pompucci
Dec 29, 2011·Journal of Neurotrauma·Patrick SchussErdem Güresir
Jun 30, 2012·The Journal of Trauma and Acute Care Surgery·Chang-Hyun LeeYoung-Je Son
Feb 12, 2013·Journal of Neurosurgery·Brian P WalcottJean-Valery Coumans
Sep 18, 2013·Acta neurochirurgica·Hoon KimKwang Wook Jo
Jul 23, 2015·Journal of Indian Prosthodontic Society·K V Arun KumarV S Legha
May 12, 2016·Korean Journal of Neurotrauma·Ji Sang KimChoong Hyun Kim

❮ Previous
Next ❯

Citations

Feb 18, 2020·Frontiers in Neurology·Corrado IaccarinoAmos Olufemi Adeleye
Oct 14, 2020·Neurosurgical Review·Jennifer GöttscheMichael Hahn
Jan 11, 2021·Cell and Tissue Banking·Vicente MirabetCarlos Botella
Mar 13, 2021·The Journal of Craniofacial Surgery·Marc LewitzSamer Zawy Alsofy

❮ Previous
Next ❯

Methods Mentioned

BETA
surgical resection

Software Mentioned

R Foundation for Statistical Computing
R language

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.