Bone flap resorption Following Cranioplsty after Decompressive Craniectomy : Preliminary Report

Title
Bone flap resorption Following Cranioplsty after Decompressive Craniectomy : Preliminary Report
Authors
정진환
Keywords
Bone resorption; Cranioplasty; Decompressive craniectomy
Issue Date
2015-01
Publisher
Korean Neurotraumatology Society
Citation
Korean Journal of Neurotrauma, v. 11, NO 1, Page. 1-5
Abstract
Objective: Resorption of autologous bone flap grafts is a known long-term complication of cranioplasty following decompressive craniectomy (DC). We analyzed our data to identify risk factors for bone flap resorption (BFR) following cranioplasty. Methods: A total of 162 patients who underwent cranioplasty following DC due to life-threatening elevated intracranial pressure between October 2003 and December 2012, were included in our investigation. Follow-up exceeded one year. Results: BFR occurred as a long-term complication in 9 of the 162 patients (5.6%). The affected patients consisted of individuals who had undergone DC for traumatic brain injury (TBI; n=4), for subarachnoid hemorrhage (SAH; n=3), for cerebral infarction (n=1), and intracerebral hemorrhage (n=1). Logistic regression analysis identified no significant risk factors for BFR. Conclusion: TBI and SAH as initial diagnoses are more often associated with BFR than other diagnoses. This finding may influence future surgical decision making, especially in patients with possible risk factors for BFR. A prospective study with a large number of patients is needed to identify potential predictors of BFR such as bone flap sterilization and preservation.
URI
http://hdl.handle.net/20.500.11754/21591https://synapse.koreamed.org/DOIx.php?id=10.13004/kjnt.2015.11.1.1
ISSN
2234-8999
DOI
http://dx.doi.org/10.13004/kjnt.2015.11.1.1
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COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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