Cosmetic results of autologous bone cranioplasty after decompressive craniectomy for traumatic brain injury based on a patient questionnaire
| Autor: | Milton Inocencio Ruiz-Flores, Saúl Solorio-Pineda, Antonio Sosa-Najera, César Adán Almendárez-Sánchez, Eduardo Reyna-Martínez, Abrahan Alfonso Tafur-Grandett, Alfredo Vara-Castillo, José Alfonso Franco-Jiménez, Leonardo Álvarez-Vázquez |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
RD1-811 Traumatic brain injury business.industry medicine.medical_treatment Trauma center Retrospective cohort study Decompressive craniectomy Autologous bone medicine.disease Cranioplasty Surgery Patient questionnaire Patient age medicine Neurology (clinical) Cosmetic outcome Neurology. Diseases of the nervous system business RC346-429 |
| Zdroj: | Interdisciplinary Neurosurgery, Vol 26, Iss, Pp 101311-(2021) |
| ISSN: | 2214-7519 |
| Popis: | Background Decompressive craniectomy (DC) after traumatic brain injury (TBI) is a common surgical procedure. Cranioplasty (CP) is undertaken as a routine secondary operation following DC. In neurosurgical trauma centers, patients who require CPs compete with other patients who require emergency neurosurgical intervention and they are not given enough priority. Methods A retrospective study was conducted of patients who had undergone autologous bone CP after DC for TBI over three years in a 3rd level trauma center in Mexico. All families were administered a questionnaire to assess how the patient judged the cosmetic result of CP. Results A total of 29 patients agreed to participate in this study. 25 patients (86.2%) were satisfied with the aesthetic result and 4 patients (13.8%) were no satisfied with their CP. 4 cases (13.8%) reported medical complications related to CP. Unsatisfied patients complained most likely about the dented aesthetic look, with a moderate negative correlation between this and cosmetic outcome (ρ = −0.483, P = 0.001). Patient age (ρ = 0.194, P = 0.314) and defect size (ρ = 0.156, P = 0.419) was not related to the assessment of the aesthetic result. A strong negative correlation between postoperative infection and the grade of satisfaction (ρ = −0.710, P = 0.001) was also observed. Conclusions Based on our results, overall most of the patients were satisfied with their CP with an acceptable complication rate. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|