There are No Differences between Factors Determining Graft Infection in Autologous Bone Flap Replacement and Acrylic Cranioplasty: A Prospective Observational Study at Hospital Kuala Lumpur
- Author:
Siti Azleen Mohamad
;
Mohd Safari Mohd Haspani
;
Badrisyah Idris
- Publication Type:Journal Article
- Keywords:
graft;
infection;
cranium;
neuroscience
- From:Malaysian Journal of Medical Sciences
2016;23(5):83-90
- CountryMalaysia
- Language:English
-
Abstract:
Objectives: This study, conducted in 2012, was performed to determine the incidence
of graft infection after cranioplasty procedures and factors affecting the graft infection rate at
Hospital Kuala Lumpur (HKL).
Methodology: This was an observational cross-sectional case study of patients who
have undergone cranioplasty at HKL over a period of one year (2012). One hundred seventytwo
patients were included in the study. A total of 105 (61.8%) cases were autologous bone flap
replacements, and 67 (38.2%) were acrylic cranioplasty.
Result: A total of five infected grafts were identified among the 172 cases included in the
study, resulting in an overall infection rate of 2.9%. Of this infected group, three (4.5%) were
cases of cranioplasty and two (1.9%) were cases of autologous bone flap replacement. There
was high proportion of male patients undergoing cranioplasty (118 [or 68.6%]) and only 54 (or
31.4%) female patients. The primary pathology in the majority of patients (126 [or 73.2%]) was
due to trauma; only 46 cases (or 26.8%) did not result from trauma. Of the patients, 123 (or
71.5%) had undergone a single cranial procedure prior to their cranioplasty, and 43 (or 28.5%)
had undergone multiple cranial procedures. Most of the patients (114 [or 66.3%]) underwent
cranioplasty 90 days after undergoing decompressive craniectomy while 58 (or 33.7%) underwent
cranioplasty less than 90 days after decompressive craniectomy.
