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Cranioplasty: An Institutional Experience.
Alves Junior, Aderaldo Costa; Hamamoto Filho, Pedro Tadao; Gonçalves, Marcelo Pacheco; Palhares Neto, Aristides Augusto; Zanini, Marco Antonio.
Afiliación
  • Alves Junior AC; Faculdade de Medicina de Botucatu, Universidade Estadual Paulista.
  • Hamamoto Filho PT; Hospital das Clínicas da Faculdade de Medicina de Botucatu.
  • Gonçalves MP; Faculdade de Medicina de Botucatu, Universidade Estadual Paulista.
  • Palhares Neto AA; Departamento de Cirurgia e Ortopedia da FMB-UNESP.
  • Zanini MA; Faculdade de Medicina de Botucatu, Universidade Estadual Paulista.
J Craniofac Surg ; 29(6): 1402-1405, 2018 Sep.
Article en En | MEDLINE | ID: mdl-29554074
Cranioplasty is a common procedure in neurosurgical practice, but associated with high complication rates. In the current study, the authors describe surgical characteristics and results of cranioplasty performed in a tertiary teaching hospital in Brazil. Data were obtained from electronic medical records of cranioplasties performed between January 2013 and November 2016. The sample comprised of 33 patients, and the mean follow-up time was 16 months. Patients presented most of the times a good preoperative status, with 84.8% of patients classified between 0 and 3 at modified Rankin scale and 78.7% with 4 or 5 points at Glasgow Outcome Scale. The most common initial diagnosis was vascular disease (48% of patients) followed by traumatic brain injury (36% of patients). The majority of cranioplasties used an autograft: the autologous bone flap removed during a previous surgery (craniectomy) and stored in the abdominal subcutaneous fat (67% of patients). In 3 patients, the polymethylmethacrylate prosthesis was custom-made prior to the operation using 3-dimensional printing, based on computed tomography images. Five patients (15% of patients) developed symptoms related to surgical site infection, manifesting at an average of 5 weeks following the procedure. Three of them presented scalp dehiscence before the infection symptoms. Cranioplasty should be performed early, as long as clinical conditions are good and the patient has overcome the acute phase of neurological injury.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Cráneo / Procedimientos Neuroquirúrgicos / Procedimientos de Cirugía Plástica Límite: Humans Idioma: En Revista: J Craniofac Surg Asunto de la revista: ODONTOLOGIA Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Cráneo / Procedimientos Neuroquirúrgicos / Procedimientos de Cirugía Plástica Límite: Humans Idioma: En Revista: J Craniofac Surg Asunto de la revista: ODONTOLOGIA Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos