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Complications following titanium cranioplasty compared with nontitanium implants cranioplasty: A systematic review and meta-analysis
- Source :
- Journal of Clinical Neuroscience. 84:66-74
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- Decompressive craniectomy is widely used to treat medically refractory intracranial hypertension. There were still few studies focusing on the complications between titanium cranioplasty with non-titanium materials cranioplasty. Our systematic review and meta-analysis aimed to assess the complications following titanium cranioplasty and to make a comparison with nontitanium materials. A systematic review was used to review titanium cranioplasty characters in recent articles. A systematic literature review and meta-analysis were performed by using PubMed/MEDLINE, Scopus, the Cochrane databases and Embase for studies reporting on cranioplasty procedures that compared complication outcomes between titanium with non-titanium materials. The final 15 studies met inclusion criteria and represented 2258 cranioplasty procedures (896 titanium, 1362 nontitanium materials). Overall complications included surgical site infection, hematoma, implant exposure, seizure, cerebrospinal fluid leak, imprecise fitting. Titanium cranioplasty was associated with a significant decrease in overall complications rate (OR, 0.72; P = 0.007), hematoma rate (OR, 0.31; P = 0.0003) and imprecise fitting rate (OR, 0.35; P = 0.04). However, it also suggested that titanium cranioplasty can be greatly increased implant exposure rate (OR, 4.11; P 0.00001). Our results confirmed the advantages of titanium cranioplasty in reducing complications including hematoma, imprecise fitting, and also suggested that clinicians should pay more attention to postoperative implant exposure. With new synthetic materials emerging, it would also be interesting to study the cost-effect and functional outcomes associated with cranioplasty materials.
- Subjects :
- Adult
Male
medicine.medical_specialty
medicine.medical_treatment
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
Hematoma
Physiology (medical)
medicine
Humans
Titanium
Cerebrospinal fluid leak
business.industry
Skull
Prostheses and Implants
General Medicine
Plastic Surgery Procedures
medicine.disease
Cranioplasty
Surgery
Systematic review
Neurology
030220 oncology & carcinogenesis
Meta-analysis
Female
Decompressive craniectomy
Neurology (clinical)
Implant
Complication
business
Craniotomy
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 09675868
- Volume :
- 84
- Database :
- OpenAIRE
- Journal :
- Journal of Clinical Neuroscience
- Accession number :
- edsair.doi.dedup.....c9afacd2813828e943e590c9b1364281