Early Cranioplasty after Decompressive Craniectomy in Patients with Severe Traumatic Brain Injury | ||
| Pan Arab Journal of Neurosurgery | ||
| Article 11, Volume 17, Issue 2, December 2022, Pages 71-77 PDF (802.85 K) | ||
| Document Type: Original Articles | ||
| DOI: 10.21608/pajn.2022.145867.1060 | ||
| Authors | ||
| Safwat Abouhashem1; Hany Eldawoody2; Sahar Aldosari3; ahmed ali morsy* 4 | ||
| 1Department of Neurosurgery Faculty of Medicine, Zagazig University, Zagazig, Egypt Saudi German hospital, Riyadh, Saudi Arabia Kingdom hospital, Riyadh, Saudi Arabia | ||
| 2Department of Neurosurgery Mansoura University Hospital, Mansoura, Egypt Kingdom hospital, Riyadh, Saudi Arabia Prince Mohamed Bin Abdul-Aziz Hospital Riyadh, Saudi Arabia | ||
| 3Department of Medical laboratory and Molecular Genetics, University of ALMajmaah, Riyadh, Saudi Arabia | ||
| 4neurosurgery department,faculty of medicine, zagazig university , zagazig , egypt | ||
| Abstract | ||
| Background Cranioplasty is performed after decompressive craniectomy (DC) mainly for protection of the brain and cosmetic purposes. Furthermore, cranioplasty may also improve neuronal and cognitive functions. Despite cranioplasty is a common procedure, the proper timing for cranioplasty is still debatable. Purpose: This study aims at evaluating the impact of timing of cranioplasty after DC on functional and surgical outcomes. Material and methods This retrospective study included patients who underwent cranioplasty after DC for severe traumatic brain injury. Patients were divided into two groups based on the time to cranioplasty, either within 2 months (early group) or after 2 months from the initial DC (late group). Patients’ demographics, operative details, postoperative complications, and neurological status at the final visit were collected. Disability Rating Scale (DRS) and Glasgow outcome score (GOS) were used to evaluate the functional outcome. Results Sixty-two patients were included in this study ,44 males and 18 females, and the mean age was (33.2±15.1). 36 patients (58.1%) were included in the late group, while 26 patients (41.9%) were in the early group. The mean GOS was higher in the early group but wasn’t statistically significant (3.85 ±0.35 vs 3.56 ±0.30; P = 0.12), also there was no statistically significant difference in the DRS between early and late groups (8.85 ±2.05 vs 9.5 ±1.93; P = 0.33). Regarding complications of cranioplasty, there was insignificant difference between the two groups. conclusion Early cranioplasty can be done safely without higher rates of complications, and it may carry better neurological and functional outcomes. | ||
| Keywords | ||
| Cranioplasty; Decompressive Craniectomy; Traumatic Brain Injury; Functional Outcome | ||
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