Objective: The number of patients who need cranioplasty after decompressive craniectomy has increased. In most cases, autologous bone flaps are used for cranioplasty, and there have been reports of the complication of bone flap resorption. Based on these facts, we analysed patients who underwent cranioplasty in our institution to learn about potential risk factors of cranioplasty. Methods and results: We performed a retrospective study and analysed 58 patients who underwent cranioplasty between 2006 and 2013. We found that patients with a defect size >120cm(2) whose reimplantation was delayed tended to have a risk of bone flap resorption. Conclusion: Patients with delayed reimplantation and a defect size >120cm(2) show a tendency of aseptic bone flap resorption. In these cases, a patient-specific implant (PSI) could be the first choice material for this procedure to reduce the rate of this complication.

Bone flap; Cranioplasty; Decompressive craniectomy; Resorption

Bernadette Schoekler 1, Martin Trummer 2

1Department of Neurosurgery, Medical University Graz, Graz, Austria. Electronic address: bernadette.schoekler@klinikum-graz.at. 2Department of Neurosurgery, Medical University Graz, Graz, Austria.

Clin Neurol Neurosurg

/

2014

自体颅骨

24731578

10.1016/j.clineuro.2014.02.014