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https://www.readbyqxmd.com/read/28427053/growing-skull-fracture-and-the-orbitocranial-variant-nuances-of-surgical-management
#1
Vikram Singh, Gopalakrishnan M Sasidharan, Dhananjaya Ishwar Bhat, Bhagavatula Indira Devi
AIMS: Growing skull fracture (GSF) is a rare complication resulting from diastatic enlargement of a pediatric skull fracture. Orbitocranial GSF is a distinct variant with more complex management issues due to the displacement of the globe. This study aims to discuss surgical considerations in the management of GSF, with particular reference to orbitocranial variants. METHODS: We conducted a retrospective analysis of 7 children operated for GSFs at our institute from 2008 to 2015...
April 21, 2017: Pediatric Neurosurgery
https://www.readbyqxmd.com/read/28421835/symptomatic-tension-pneumocephalus-following-palacos%C3%A2-cranioplasty-in-a-shunted-patient
#2
Tim Killeen, Mathias Fortunati, Esha Myanger, Daniel Rüfenacht, Nurzhan Ryskeldiyev, Serik Akshulakov, Evaldas Cesnulis
Tension pneumocephalus is an exceedingly rare complication of cerebrospinal fluid diversion occurring after surgery, trauma or spontaneous fistula formation. We report a case in a patient with a ventriculoperitoneal shunt who developed symptomatic tension pneumocephalus via a skin defect within 24 hours of undergoing bone cement cranioplasty.
April 19, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28419358/early-cranioplasty-is-associated-with-greater-neurological-improvement-a-systematic-review-and-meta-analysis
#3
James G Malcolm, Rima S Rindler, Jason K Chu, Falgun Chokshi, Jonathan A Grossberg, Gustavo Pradilla, Faiz U Ahmad
BACKGROUND: Cranioplasty after decompressive craniectomy is a common neurosurgical procedure, yet the optimal timing of cranioplasty has not been well established. OBJECTIVE: To investigate whether the timing of cranioplasty is associated with differences in neurological outcome. METHODS: A systematic literature review and meta-analysis was performed using MEDLINE, Scopus, and the Cochrane databases for studies reporting timing and neurological assessment for cranioplasty after decompressive craniectomy...
April 17, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28390811/hydroxyapatite-bone-cement-for-suboccipital-retrosigmoid-cranioplasty-a-single-institution-case-series
#4
Alexander L Luryi, Ketan R Bulsara, Elias M Michaelides
OBJECTIVE: To report rates of cerebrospinal fluid leak, wound infection, and other complications after repair of retrosigmoid craniotomy with hydroxyapatite bone cement. METHODS: Retrospective case review at tertiary referral center of patients who underwent retrosigmoid craniotomy from 2013 to 2016 with hydroxyapatite cement cranioplasty. OUTCOME MEASURES: Presence of absence of cerebrospinal fluid leak, wound infection, and other complications...
March 31, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28389105/force-measurements-during-posterior-calvarial-vault-osteodistraction-a-novel-measurement-method
#5
A Ritvanen, M Savolainen, D Nowinski, D Saiepour, M Paulasto-Kröckel, J Hukki, E Tukiainen, J Leikola
Posterior calvarial vault osteodistraction (PCVO) has become increasingly popular in the correction of craniosynostosis. When compared to cranioplasty, PCVO offers a shorter, less invasive operation, greater intracranial volume advancement and a lower rate of relapse. In general, distraction protocols are based primarily on clinical observations rather than systematic research. Faster distraction protocols may reduce complications. However, distraction protocols producing higher forces can increase complications...
March 2, 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/28383737/increases-in-cranial-volume-with-posterior-cranial-vault-distraction-in-31-consecutive-cases
#6
Niina Salokorpi, Ville Vuollo, Juha-Jaakko Sinikumpu, Leonid Satanin, Heleia Nestal Zibo, Leena P Ylikontiola, Pertti Pirttiniemi, George K Sándor, Willy Serlo
BACKGROUND: Posterior cranial vault distraction (PCVD) is a technique widely used in surgical treatment of craniosynostosis when cranial expansion is required. It has proven to be safe and to allow a significant increase of intracranial volume. OBJECTIVE: To evaluate increases in intracranial volume as a result of PCVD performed in Oulu Craniofacial center using 2 different methods based on 3-dimensional (3-D) photogrammetric imaging or plain skull radiographs. METHODS: All children less than 16 yr of age who were treated by PCVD (n = 31) from 2009 to 2015 at the Oulu Craniofacial Center were included...
April 5, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28377284/outcomes-following-polyetheretherketone-peek-cranioplasty-systematic-review-and-meta-analysis
#7
REVIEW
Maria Punchak, Lawrance K Chung, Carlito Lagman, Timothy T Bui, Jorge Lazareff, Kameron Rezzadeh, Reza Jarrahy, Isaac Yang
Polyetheretherketone (PEEK) has been used in cranioplasty since the early 2000s. However, there remains limited data that compares its long-term complication rate to autologous grafts and titanium mesh implants. To compare complication and implant failure rates after PEEK, autologous and titanium mesh cranioplasties, the authors of this study conducted a systematic review using the PubMed database. Studies that contained outcome data on complication rates of PEEK cranioplasty patients and studies that compared outcomes of patients who underwent PEEK cranioplasties versus other materials were included in the meta-analysis...
April 1, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/28368505/effects-of-cranioplasty-on-cerebral-blood-flow-following-decompressive-craniectomy-a-systematic-review-of-the-literature
#8
Sameer H Halani, Jason K Chu, James G Malcolm, Rima S Rindler, Jason W Allen, Jonathan A Grossberg, Gustavo Pradilla, Faiz U Ahmad
BACKGROUND: Cranioplasty after decompressive craniectomy (DC) is routinely performed for reconstructive purposes and has been recently linked to improved cerebral blood flow (CBF) and neurological function. OBJECTIVE: To systematically review all available literature to evaluate the effect of cranioplasty on CBF and neurocognitive recovery. METHODS: A PubMed, Google Scholar, and MEDLINE search adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines included studies reporting patients who underwent DC and subsequent cranioplasty in whom cerebral hemodynamics were measured before and after cranioplasty...
March 29, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28362969/letter-effect-of-early-surgery-material-and-method-of-flap-preservation-on-cranioplasty-infections-a-systematic-review
#9
Jin-Wen Jiang, Wei-Xin Song, Hai Luo, Zu-Li Hu, Mei-Hua Li
No abstract text is available yet for this article.
March 1, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28362928/in-reply-effect-of-early-surgery-material-and-method-of-flap-preservation-on-cranioplasty-infections-a-systematic-review
#10
Sanjay Yadla
No abstract text is available yet for this article.
April 1, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28358760/the-degree-of-surgical-frontal-volume-correction-in-metopic-synostosis-determines-long-term-outcomes
#11
Madiha Bhatti-Söfteland, Giovanni Maltese, Peter Tarnow, Emma Wikberg, Peter Bernhardt, Lars Kölby
Metopic synostosis results in a keel-shaped forehead, reduced frontal intracranial volume (ICV), and lower frontal to total volume ratio. The ratio improves with cranioplasty, but at 3 years of age, the ratio is still not normalized when compared to that in normal children. The aim of the present study was to investigate whether a low frontal to total ICV ratio at 3 years of age was due to relapse or insufficient correction.All children surgically treated for metopic synostosis in combination with a spring at Sahlgrenska University Hospital with subsequent spring extraction between 2002 and 2008 (n = 20) were included...
March 29, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28343651/reconstruction-of-large-cranial-defects-with-poly-methyl-methacrylate-pmma-using-a-rapid-prototyping-model-and-a-new-technique-for-intraoperative-implant-modeling
#12
Claudia Unterhofer, Christoph Wipplinger, Michael Verius, Wolfgang Recheis, Claudius Thomé, Martin Ortler
BACKGROUND: Reconstruction of large cranial defects after craniectomy can be accomplished by free-hand poly-methyl-methacrylate (PMMA) or industrially manufactured implants. The free-hand technique often does not achieve satisfactory cosmetic results but is inexpensive. In an attempt to combine the accuracy of specifically manufactured implants with low cost of PMMA. METHODS: Forty-six consecutive patients with large skull defects after trauma or infection were retrospectively analyzed...
March 10, 2017: Neurologia i Neurochirurgia Polska
https://www.readbyqxmd.com/read/28338584/spring-assisted-cranioplasty-for-the-correction-of-non-syndromic-scaphocephaly-a-quantitative-analysis-of-100-consecutive-cases
#13
W Rodgers, G E Glass, S Schievano, A Borghi, N Rodriguez-Florez, A Tahim, F Angullia, W Breakey, P Knoops, M Tenhagen, J O'Hara, A Ponniah, G James, D J Dunaway, Nuo Jeelani
BACKGROUND: Spring-assisted cranioplasty has been proposed as an alternative to total calvarial remodelling for sagittal craniosynostosis. Advantages include its minimally invasive nature, reduced morbidity and hospital stay. Potential drawbacks include the need for a second procedure for removal and the lack of published long-term follow-up. We present a single institution experience of 100 consecutive cases using a novel spring design. METHODS: All patients treated at our institution between April 2010 and September 2014 were evaluated retrospectively...
March 3, 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28325460/cranioplasty
#14
REVIEW
Matthew Piazza, M Sean Grady
Cranioplasty following craniectomy for trauma is a common, safe neurosurgical procedure that restores the natural cosmesis and protective barrier of the skull and may be instrumental in normalizing cerebrospinal fluid dynamics after decompressive surgery. Understanding the factors influencing patient selection and timing of cranioplasty, the available materials and methods of skull reconstruction, and the technical nuances is critical for a successful outcome. Neurosurgeons must be prepared to manage the complications specific to this operation...
April 2017: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/28315803/cranioplasty-complications-and-costs-a-national-population-level-analysis-using-the-marketscan-longitudinal-database
#15
Amy Li, Tej Deepak Azad, Anand Veeravagu, Inderpreet Bhatti, Chao Long, John K Ratliff, Gordon Li
OBJECTIVE: To characterize cranioplasty complications and costs at a population level using a longitudinal national claims database. METHODS: We identified cranioplasty patients between 2007-2014 in the MarketScan national database. We evaluated age, autograft usage, cranioplasty size, and cranioplasty timing on postoperative outcomes. We further analyzed associated costs. A subset analysis of adult cranioplasty patients with emergent indications, including stroke and trauma, was also performed...
March 15, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28315449/prophylactic-levetiracetam-for-seizure-control-after-cranioplasty-a-multicenter-prospective-controlled-study
#16
Shuli Liang, Ping Ding, Shaohui Zhang, Junchen Zhang, Jiwu Zhang, Yuping Wu
PURPOSE: To study the efficacy and safety of prophylactic levetiracetam (LEV) administration in adults undergoing cranioplasty. METHODS: Two hundred adults undergoing cranioplasty were prospectively enrolled and randomly divided into LEV group (prophylactic LEV for 24 weeks) and control group (no prophylactic anti-epileptic drugs). The patients' demographic and clinical characteristics, occurrence of postoperative seizure, changes in intelligence quotient (IQ), memory quotient (MQ), and activities of daily living (ADL) scores, as well as postoperative hospital stay side effects, were all analyzed at 2-, 24-, and 48-week follow-up visits...
March 14, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28302244/disseminated-intravascular-coagulation-developing-after-cranioplasty
#17
Wenming Wang, Hua Liu, Jian Yang, Yafang Shen
Disseminated intravascular coagulation (DIC) developing after cranioplasty, a skull reconstructive surgical procedure, is very rare. The presently reported patient underwent cranioplasty for cranial trauma under general anaesthesia using titanium prostheses. Her laboratory data was unremarkable. She underwent three operations, each complicated by excessive postoperative bleeding. Although the patient received massive blood transfusions, but no cryoprecipitate coagulum was given during the first two re-operations, and excessive bleeding was evident...
March 2017: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/28298042/the-effect-of-cranioplasty-following-decompressive-craniectomy-on-cerebral-blood-perfusion-neurological-and-cognitive-outcome
#18
Adnan Hussain Shahid, Manju Mohanty, Navneet Singla, Bhagwant Rai Mittal, Sunil Kumar Gupta
OBJECTIVE Decompressive craniectomy is an established therapy for refractory intracranial hypertension. Cranioplasty following decompressive craniectomy not only provides protection to the brain along with cosmetic benefits, but also enhances rehabilitation with meaningful functional recovery of potentially reversible cortical and subcortical damaged areas of the affected as well as the contralateral hemisphere. The aim of the study was to assess neurological and cognitive outcome as well as cerebral blood flow after cranioplasty...
March 3, 2017: Journal of Neurosurgery
https://www.readbyqxmd.com/read/28262513/analysis-of-the-cephalometric-changes-in-the-first-3-months-after-spring-assisted-cranioplasty-for-scaphocephaly
#19
O Ou Yang, D D Marucci, R J Gates, M Rahman, J Hunt, M P Gianoutsos, W R Walsh
BACKGROUND: Spring-assisted cranioplasty (SAC) has become an accepted treatment for patients with sagittal craniosynostosis; however, the early effects of springs on skull dimensions have never been assessed with objective measurements in the literature. The present study evaluated the changes in skull dimensions and intracranial volume (ICV) during the first 3 months after SAC for sagittal synostosis. METHODS: Sixteen patients with sagittal synostosis underwent SAC...
January 9, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28230585/decompressive-craniectomy-with-bifrontal-coronal-incision-in-the-management-of-fronto-temporal-contusion-and-laceration-for-early-cranioplasty
#20
Zhong Wang, Ning Su, Ri-Le Wu, Yi-Song Zhang, Xiao-Jun Zhang, Jian-Jun Qi, Wei-Ping Zhao, Zhong Zhang, Jun-Qing Wang
The present study aims to explore the effectiveness of decompressive craniectomy with bifrontal coronal incision in the management of severe contusion and laceration of bilateral fronto-temporal lobes, as well as the outcomes of early cranioplasty. The authors performed the bifrontal decompressive craniectomy on 56 patients with contusion and laceration of bilateral frontal and temporal lobes, and their follow-up treatment outcomes were tracked within 6 months using Glasgow Outcome Scale. The results showed that 33 patients (out of 56, 58...
February 22, 2017: Journal of Craniofacial Surgery
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