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Bone Flap Conservation in the Scalp After Decompressive Craniectomy.
Nobre, Márcio Costa; Veloso, Adriano Teixeira; Santiago, César Felipe Gusmão; de Freitas Barbosa, Warley; Lages, Gustavo Veloso; Gonçalves Nobre, Isabela; Silva, Thiérry Vinícius Flores; Monteiro, Ruy; Paiva, Wellingson Silva.
Afiliação
  • Nobre MC; Santa Casa de Montes Claros, Montes Claros, Brazil.
  • Veloso AT; Santa Casa de Montes Claros, Montes Claros, Brazil.
  • Santiago CFG; Santa Casa de Montes Claros, Montes Claros, Brazil.
  • de Freitas Barbosa W; Santa Casa de Montes Claros, Montes Claros, Brazil.
  • Lages GV; Santa Casa de Montes Claros, Montes Claros, Brazil.
  • Gonçalves Nobre I; Universidade Estadual de Montes Claros, Montes Claros, Brazil.
  • Silva TVF; Universidade Estadual de Montes Claros, Montes Claros, Brazil.
  • Monteiro R; Hospital Miguel Couto, Rio de Janeiro, Brazil.
  • Paiva WS; University of Sao Paulo, Sao Paulo, Brazil. Electronic address: wellingsonpaiva@yahoo.com.br.
World Neurosurg ; 120: e269-e273, 2018 Dec.
Article em En | MEDLINE | ID: mdl-30138734
BACKGROUND: Decompressive craniectomy may be used as a primary or secondary treatment for intracranial hypertension and is clearly associated with reduced mortality. The removed bone flap is usually preserved in the abdominal subcutaneous tissue or in the bone bank. The aim of this study was to describe an option for preserving the bone flap after decompressive craniectomy using bone flap preservation in the skull subcutaneous tissue in subgaleal space over the pericranium contralateral to the craniectomy site. METHODS: This was a multicenter retrospective study including patients with severe traumatic brain injury from 2014 to 2016. There were 23 patients who had their bone fragments preserved below the scalp in the subcutaneous tissue for analysis. The following results were analyzed: surgical site infection, bone flap resorption during the period of preservation, and patient discomfort. RESULTS: Five patients died of systemic infectious complications, and the remaining patients underwent cranioplasty a mean 118 days after craniectomy. There were no surgical wound infections, macroscopically evident bone absorption, or site discomfort in any of the patients during a period of 18 months. CONCLUSIONS: This variant of the bone flap preservation technique has been shown to be satisfactory as an option for routine use.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Couro Cabeludo / Crânio / Retalhos Cirúrgicos / Hipertensão Intracraniana / Tela Subcutânea / Craniectomia Descompressiva / Lesões Encefálicas Traumáticas Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies Limite: Adolescent / Adult / Aged / Aged80 / Child / Female / Humans / Male / Middle aged Idioma: En Revista: World Neurosurg Assunto da revista: NEUROCIRURGIA Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Couro Cabeludo / Crânio / Retalhos Cirúrgicos / Hipertensão Intracraniana / Tela Subcutânea / Craniectomia Descompressiva / Lesões Encefálicas Traumáticas Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies Limite: Adolescent / Adult / Aged / Aged80 / Child / Female / Humans / Male / Middle aged Idioma: En Revista: World Neurosurg Assunto da revista: NEUROCIRURGIA Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos