Bone Flap Conservation in the Scalp After Decompressive Craniectomy

被引:10
作者
Nobre, Marcio Costa [1 ]
Veloso, Adriano Teixeira [1 ]
Gusmao Santiago, Cesar Felipe [1 ]
Barbosa, Warley de Freitas [1 ]
Lages, Gustavo Veloso [1 ]
Nobre, Isabela Goncalves [2 ]
Flores Silva, Thierry Vinicius [2 ]
Monteiro, Ruy [3 ]
Paiva, Wellingson Silva [4 ]
机构
[1] Santa Casa Montes Claros, Montes Claros, Brazil
[2] Univ Estadual Montes Claros, Montes Claros, Brazil
[3] Hosp Miguel Couto, Rio De Janeiro, Brazil
[4] Univ Sao Paulo, Sao Paulo, Brazil
关键词
Bone preservation; Cranioplasty; Decompressive craniectomy; Intracranial hypertension; CRANIOPLASTY; COMPLICATIONS; STORAGE; SERIES; CRANIOTOMY; INFARCTION; INFECTION; SECONDARY;
D O I
10.1016/j.wneu.2018.08.048
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
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.
引用
收藏
页码:E269 / E273
页数:5
相关论文
共 50 条
[41]   MODIFIED DECOMPRESSIVE CRANIECTOMY: A NEW TECHNIQUE FOR DESTINATION AND PRESERVATION OF THE BONE FLAP [J].
Quinonez, Rafael ;
Roth, Bradley ;
Hanpeter, David .
JOURNAL OF NEUROTRAUMA, 2012, 29 (10) :A141-A141
[42]   Decompressive Craniectomy [J].
Clemens M. Schirmer ;
Albert A. Ackil ;
Adel M. Malek .
Neurocritical Care, 2008, 8 :456-470
[43]   Bone Flap Necrosis After Decompressive Hemicraniectomy for Malignant Middle Cerebral Artery Infarction [J].
Ewald, Christian ;
Duenisch, Pedro ;
Walter, Jan ;
Goetz, Theresa ;
Witte, Otto W. ;
Kalff, Rolf ;
Guenther, Albrecht .
NEUROCRITICAL CARE, 2014, 20 (01) :91-97
[44]   Cranioplasty Following Decompressive Craniectomy [J].
Iaccarino, Corrado ;
Kolias, Angelos G. ;
Roumy, Louis-Georges ;
Fountas, Kostas ;
Adeleye, Amos Olufemi .
FRONTIERS IN NEUROLOGY, 2020, 10
[45]   Osteoplastic decompressive craniotomy-an alternative to decompressive craniectomy [J].
Mracek, Jan ;
Choc, Milan ;
Mork, Jan ;
Vacek, Petr ;
Mracek, Zdenek .
ACTA NEUROCHIRURGICA, 2011, 153 (11) :2259-2263
[46]   Scanning electron microscopic surface analysis of cryoconserved skull bone after decompressive craniectomy [J].
Beez, Thomas ;
Sabel, Martin ;
Ahmadi, Sebastian Alexander ;
Beseoglu, Kerim ;
Steiger, Hans-Jakob ;
Sabel, Michael .
CELL AND TISSUE BANKING, 2014, 15 (01) :85-88
[47]   Scanning electron microscopic surface analysis of cryoconserved skull bone after decompressive craniectomy [J].
Thomas Beez ;
Martin Sabel ;
Sebastian Alexander Ahmadi ;
Kerim Beseoglu ;
Hans-Jakob Steiger ;
Michael Sabel .
Cell and Tissue Banking, 2014, 15 :85-88
[48]   The current status of decompressive craniectomy [J].
Kakar, Vishal ;
Nagaria, Jabir ;
Kirkpatrick, Peter John .
BRITISH JOURNAL OF NEUROSURGERY, 2009, 23 (02) :147-157
[49]   Spontaneous bone regeneration after decompressive craniectomy performed for an infant with acute subdural hematoma [J].
Yamamoto, Shungo ;
Nogami, Masao ;
Muto, Yuichiro ;
Katayama, Takashi ;
Todaka, Tatemi ;
Hirai, Katsuki .
PEDIATRICS INTERNATIONAL, 2025, 67 (01)
[50]   Cosmetic results of autologous bone cranioplasty after decompressive craniectomy for traumatic brain injury based on a patient questionnaire [J].
Adan Almendarez-Sanchez, Cesar ;
Reyna-Martinez, Eduardo ;
Vara-Castillo, Alfredo ;
Inocencio Ruiz-Flores, Milton ;
Alvarez-Vazquez, Leonardo ;
Solorio-Pineda, Saul ;
Alfonso Tafur-Grandett, Abrahan ;
Sosa-Najera, Antonio ;
Alfonso Franco-Jimenez, Jose .
INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT, 2021, 26