Mar 1, 1989

Late infection after cranioplasty--review of 14 cases

Neurologia Medico-chirurgica
K TokoroK Tsubone


The incidence of late infection after cranioplasty was studied in 130 patients with 133 cranioplasties. The materials used were prefabricated resin in 62 cases, autogenic bone in 38, intraoperatively fashioned resin in 25, and vitallium in eight. Six infections were documented, for an infection rate of 4.5%. In addition to these six cases, we studied eight patients with infections who had undergone cranioplasty elsewhere but had the infected plates removed in our hospitals. Among the 14 cases of infection, the intervals between cranioplasty and plate removal were 3 to 43 months (average, 10.5 months). The eight patients referred from other hospitals had a significantly shorter average interval between external decompression and cranioplasty than did patients who did not develop infection (2.6 versus 6.7 months; p less than 0.005). Systemic signs were mild despite obvious local signs of infection. Of the 11 first infections, nine (82%) were associated with discharge of pus from a fistula; in these cases a galeal suture had become infected apparently through scratching by the patients. In contrast, in the three patients who had had a previous infection, the second infection manifested as subgaleal and epidural empyema or meningit...Continue Reading

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Mentioned in this Paper

Unspecified Staphylococcus Infection in Conditions Classified Elsewhere and of Unspecified Site
Resins, Plant
Genus staphylococcus
Suture Joint
Pathologic Fistula
Bone Transplantation
Postoperative Complications

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