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Cranioplasty for patients developing large cranial defects combined with post-traumatic hydrocephalus after head trauma
Cranioplasty for patients developing large cranial defects combined with post-traumatic hydrocephalus after head trauma
- Source :
- Brain Injury. 22:333-337
- Publication Year :
- 2008
- Publisher :
- Informa UK Limited, 2008.
-
Abstract
- Large cranial defects combined with hydrocephalus after decompressive craniectomy are a common, harsh reality among patients with head trauma. Typically, a shunt is first used to relieve the hydrocephalus. However, subsequently the patients may develop a severe sinking scalp flap over the skull defect before cranioplasty, which would make the procedure difficult.This problem was overcome by temporarily adjusting the shunt pressure using a programmable ventriculoperitoneal shunt tube, which allowed expansion of the depressed scalp flap and facilitated the subsequent cranioplasty. This study describes two patients who were treated for this problem after severe head trauma.When performing a titanium mesh cranioplasty after a shunt, this new method facilitated the separation of the scalp from the underlying muscle or dura and obliterated the dead space between the titanium mesh and the underlying tissue. Both patients had satisfactory outcomes without complications.This method is easy and safe and it facilitates the cranioplasty, reducing the potential complications, including intracranial haematoma, effusions and infection, and thereby improving the patient outcome.
- Subjects :
- Adult
Male
medicine.medical_specialty
Traumatic brain injury
medicine.medical_treatment
Neuroscience (miscellaneous)
Ventriculoperitoneal Shunt
Surgical Flaps
Head trauma
Developmental and Educational Psychology
medicine
Craniocerebral Trauma
Humans
Skull Fracture, Depressed
Post-traumatic hydrocephalus
business.industry
Skull
Plastic Surgery Procedures
Decompression, Surgical
medicine.disease
Cranioplasty
Hydrocephalus
Surgery
Shunt (medical)
medicine.anatomical_structure
Scalp
Female
Decompressive craniectomy
Neurology (clinical)
business
Subjects
Details
- ISSN :
- 1362301X and 02699052
- Volume :
- 22
- Database :
- OpenAIRE
- Journal :
- Brain Injury
- Accession number :
- edsair.doi.dedup.....626e463e64546bdca45ca6ab311b6d1e
- Full Text :
- https://doi.org/10.1080/02699050801958353