Abstract
Cranioplasty following decompressive craniectomy is highly associated with complications. Methods for avoiding these complications have been well-documented; however, approaching reconstruction through the previous incision, especially if it was on or very near the bone defect, can sometimes lead to wound dehiscence and infection, with exposure of the artificial bone. For such complicated cases, we propose a multi-staged preparation that includes creating a delayed skin flap for the actual skull reconstruction. Flap was elevated in three stages, with 4 week intervals between each stage to allow for adequate blood supply. Cranioplasty using custom-made implants was then performed. Four patients (age range, 10-25 years) were prepared for skull reconstruction using this technique. During follow-up period for 12 months, no complications, including infections, exposure of the artificial bone, or flap necrosis, were observed. Despite the multiple stages required, we consider that our technique makes a significant contribution to the literature because it suggests a technique for cranioplasty following decompressive craniectomy that may avoid many of the complications following such cranioplasty using current methods.
| Original language | English |
|---|---|
| Pages (from-to) | 172-175 |
| Number of pages | 4 |
| Journal | Neurologia medico-chirurgica |
| Volume | 59 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - 2019 May 15 |
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Keywords
- cranial defect
- cranial reconstruction
- cranioplasty
- delayed phenomenon
ASJC Scopus subject areas
- Surgery
- Clinical Neurology
Cite this
Multi-stage Preparation for the Repair of Complicated Skull Defects. / Sakamoto, Yoshiaki; Arnaud, Eric.
In: Neurologia medico-chirurgica, Vol. 59, No. 5, 15.05.2019, p. 172-175.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Multi-stage Preparation for the Repair of Complicated Skull Defects
AU - Sakamoto, Yoshiaki
AU - Arnaud, Eric
PY - 2019/5/15
Y1 - 2019/5/15
N2 - Cranioplasty following decompressive craniectomy is highly associated with complications. Methods for avoiding these complications have been well-documented; however, approaching reconstruction through the previous incision, especially if it was on or very near the bone defect, can sometimes lead to wound dehiscence and infection, with exposure of the artificial bone. For such complicated cases, we propose a multi-staged preparation that includes creating a delayed skin flap for the actual skull reconstruction. Flap was elevated in three stages, with 4 week intervals between each stage to allow for adequate blood supply. Cranioplasty using custom-made implants was then performed. Four patients (age range, 10-25 years) were prepared for skull reconstruction using this technique. During follow-up period for 12 months, no complications, including infections, exposure of the artificial bone, or flap necrosis, were observed. Despite the multiple stages required, we consider that our technique makes a significant contribution to the literature because it suggests a technique for cranioplasty following decompressive craniectomy that may avoid many of the complications following such cranioplasty using current methods.
AB - Cranioplasty following decompressive craniectomy is highly associated with complications. Methods for avoiding these complications have been well-documented; however, approaching reconstruction through the previous incision, especially if it was on or very near the bone defect, can sometimes lead to wound dehiscence and infection, with exposure of the artificial bone. For such complicated cases, we propose a multi-staged preparation that includes creating a delayed skin flap for the actual skull reconstruction. Flap was elevated in three stages, with 4 week intervals between each stage to allow for adequate blood supply. Cranioplasty using custom-made implants was then performed. Four patients (age range, 10-25 years) were prepared for skull reconstruction using this technique. During follow-up period for 12 months, no complications, including infections, exposure of the artificial bone, or flap necrosis, were observed. Despite the multiple stages required, we consider that our technique makes a significant contribution to the literature because it suggests a technique for cranioplasty following decompressive craniectomy that may avoid many of the complications following such cranioplasty using current methods.
KW - cranial defect
KW - cranial reconstruction
KW - cranioplasty
KW - delayed phenomenon
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U2 - 10.2176/nmc.oa.2018-0283
DO - 10.2176/nmc.oa.2018-0283
M3 - Article
C2 - 30867358
AN - SCOPUS:85067040556
VL - 59
SP - 172
EP - 175
JO - Neurologia Medico-Chirurgica
JF - Neurologia Medico-Chirurgica
SN - 0470-8105
IS - 5
ER -