Bone flap resorption following cranioplasty after decompressive craniectomy: Preliminary report

Title
Bone flap resorption following cranioplasty after decompressive craniectomy: Preliminary report
Authors
김재민
Keywords
Bone resorptio; Cranioplasty; Decompressive craniectomy
Issue Date
2015-05
Publisher
대한외상학회
Citation
대한외상학회지, 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
https://synapse.koreamed.org/DOIx.php?id=10.13004/kjnt.2015.11.1.1http://hdl.handle.net/20.500.11754/24917
ISSN
2234-8999; 2288-2243
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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