Cranioplasty and analysis of related problems after craniocerebral trauma
- VernacularTitle:颅脑损伤后颅骨成形及相关问题分析
- Author:
Peng LEI
;
Hong-Song QIAN
;
Chao-Di WENG
;
Yu WANG
;
Yi WU
;
Zhi-Yun LI
;
Jie ZHOU
;
Li-zhuang TIAN
;
Wei JI
- Publication Type:Journal Article
- Keywords:
Head injuries;
Skull fractures;
Bone substitutes;
Cranioplasty
- From:
Chinese Journal of Trauma
2003;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the choice of implant materials,key points of operative proce- dures,prevention and management of postoperative complications in patients treated with cranioplasty. Methods Two hundred and twenty six patients with craniocerebral trauma underwent cranioplasty with different implant materials.Attention should be paid for the purpose of not tearing or injuring the dura ma- ter during operation.To take the dura mater up to the implant material and the edge of the bone flap,and put drainage under the scalp flap before closure of the incision.Results The clinical symptoms and neural function were improved in 146(64.6%)patients postoperatively.Postoperative complications mainly were infection,fluid collection and hematoma in the operative region.Follow-up showed the occur- rence of displacement or collapse of the implant materials in some patients.Conclusion Timely cra- nioplasty can not only resolve cosmetic problems but also improve clinical symptoms and neural function. The causes of postoperative complications are mainly related with the operative procedures and the materi- als used.
