Home Bratislava Medical Journal 2021 Bratislava Medical Journal Vol.122, No.7, p.461–468,2021

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Published Monthly, in English
Founded: 1919
ISSN 0006-9248
(E)ISSN 1336-0345

Impact factor 1.564


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Bratislava Medical Journal Vol.122, No.7, p.461–468,2021

Title: Analysis of clinical efficiency and early postoperative complications after cranioplasty
Author: M. Hanko, K. Cmarkova, R. Hanzel, P. Snopko, R. Opsenak, B. Kolarovszki

Abstract: INTRODUCTION: Despite of being considered a routine procedure, cranioplasty is associated with a substantial risk of failure, or postoperative complications.
PATIENTS AND METHODS: Postoperative clinical course and rate of complications was assessed in patients undergoing cranioplasty during years 2015–2019 in a retrospective fashion.
RESULTS: The most frequent condition requiring cranioplasty was a presence of bone defect after a decompressive craniectomy for traumatic brain injury (45 patients). Revision was needed in 9 cases (12.68 %), removal of the bone flap was necessary in 5 patients (7.04 %). The most common complication observed was an unintended intraoperative durotomy, occurring in 9 patients (12.68 %), which was, however, not associated with an increased risk of reoperation. Postoperative improvement of motor functions was observed in 7 patients (9.86 %). Improvement of consciousness occurred in 8 patients (11.27 %). Early cranioplasty was associated with significantly higher odds for surgical revision, patients after previous craniectomy for traumatic brain injury had significantly increased odds for the overall occurrence of complications.
CONCLUSIONS: After a cranial reconstruction, complications with a various degree of severity may occur and even the result in need of the implant removal. Postoperative improvement of focal neuro-deficit is possible as well as improvement on the level of patient’s consciousness (Tab. 2, Fig. 2, Ref. 61).

Keywords: cranioplasty, craniectomy, outcome, complications
Published online: 23-Jun-2021
Year: 2021, Volume: 122, Issue: 7 Page From: 461, Page To: 468

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