Review of Cranioplasty after Decompressive Craniectomy.
10.13004/kjnt.2017.13.1.9
- Author:
Yong Jun CHO
1
;
Suk Hyung KANG
Author Information
1. Department of Neurosurgery, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon, Korea. nscharisma@hanmail.net
- Publication Type:Review
- Keywords:
Cranioplasty;
Cost-Benefit analysis;
Complications;
Cosmetics;
Outcome
- MeSH:
Brain;
Cost-Benefit Analysis;
Decompressive Craniectomy*;
Delivery of Health Care;
Humans;
Skin
- From:Korean Journal of Neurotrauma
2017;13(1):9-14
- CountryRepublic of Korea
- Language:English
-
Abstract:
Cranioplasty is an in evitable operation conducted after decompressive craniectomy (DC). The primary goals of cranioplasty after DC are to protect the brain, achieve a natural appearance and prevent sinking skin flap syndrome (or syndrome of the trephined). Furthermore, restoring patients' functional outcome and supplementing external defects helps patients improve their self-esteem. Although early cranioplasty is preferred in recent year, optimal timing for cranioplasty remains a controversial topic. Autologous bone flaps are the most ideal substitute for cranioplasty. Complications associated with cranioplasty are also variable, however, post-surgical infection is most common. Many new materials and techniques for cranioplasty are introduced. Cost-benefit analysis of these new materials and techniques can result in different outcomes from different healthcare systems.
