Analysis of clinical efficiency and early postoperative complications after cranioplasty
| Autor: | Branislav Kolarovszki, Radoslav Hanzel, K Cmarkova, René Opšenák, Martin Hanko, Pavol Snopko |
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| Rok vydání: | 2021 |
| Předmět: |
Economics and Econometrics
Bone flap medicine.medical_specialty Decompressive Craniectomy Traumatic brain injury medicine.medical_treatment Postoperative Complications Materials Chemistry Media Technology medicine Humans In patient Retrospective Studies business.industry Skull Clinical course Forestry Plastic Surgery Procedures medicine.disease Cranioplasty Surgery Increased risk Treatment Outcome Decompressive craniectomy business Complication |
| Zdroj: | Bratislavske lekarske listy. 122(7) |
| ISSN: | 0006-9248 2015-2019 |
| Popis: | Introduction Despite of being considered a routine procedure, cranioplasty is associated with a substantial risk of failure, or postoperative complications. Patients and methods Postoperative clinical course and rate of complications was assessed in patients undergoing cranioplasty during years 2015-2019 in a retrospective fashion. Results The most frequent condition requiring cranioplasty was a presence of bone defect after a decompressive craniectomy for traumatic brain injury (45 patients). Revision was needed in 9 cases (12.68 %), removal of the bone flap was necessary in 5 patients (7.04 %). The most common complication observed was an unintended intraoperative durotomy, occurring in 9 patients (12.68 %), which was, however, not associated with an increased risk of reoperation. Postoperative improvement of motor functions was observed in 7 patients (9.86 %). Improvement of consciousness occurred in 8 patients (11.27 %). Early cranioplasty was associated with significantly higher odds for surgical revision, patients after previous craniectomy for traumatic brain injury had significantly increased odds for the overall occurrence of complications. Conclusions After a cranial reconstruction, complications with a various degree of severity may occur and even the result in need of the implant removal. Postoperative improvement of focal neuro-deficit is possible as well as improvement on the level of patient's consciousness (Tab. 2, Fig. 2, Ref. 61). |
| Databáze: | OpenAIRE |
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