Autologous bone flap cranioplasty following decompressive craniectomy is combined with a high complication rate in pediatric traumatic brain injury patients

2014 ◽  
Vol 156 (4) ◽  
pp. 813-824 ◽  
Author(s):  
K. Daniel Martin ◽  
Benjamin Franz ◽  
Matthias Kirsch ◽  
Witold Polanski ◽  
Maja von der Hagen ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Decompressive Craniectomy ◽  
Complication Rate ◽  
Bone Flap ◽  
Pediatric Traumatic Brain Injury ◽  
High Complication Rate ◽  
Autologous Bone

Letter to the Editor Regarding “Optimal Bone Flap Size for Decompressive Craniectomy for Refractory Increased Intracranial Pressure in Traumatic Brain Injury: Taking the Patient's Head Size into Account”

2020 ◽  
Vol 139 ◽  
pp. 653
Author(s):  
Daniel Buzaglo Gonçalves ◽  
Laura Raquel da Silva Costa ◽  
Maria Izabel Andrade dos Santos ◽  
Robson Luis Oliveira de Amorim ◽  
Wellingson Silva Paiva
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Intracranial Pressure ◽  
Decompressive Craniectomy ◽  
Bone Flap ◽  
Head Size ◽  
Increased Intracranial Pressure ◽  
Letter To The Editor

Bifrontal Biparietal Cruciate Decompressive Craniectomy in Pediatric Traumatic Brain Injury

2019 ◽  
Vol 54 (1) ◽  
pp. 6-11
Author(s):  
Daryl C. McHugh ◽  
Susan M. Fiore ◽  
Nancy Strong ◽  
Michael R. Egnor
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Decompressive Craniectomy ◽  
Pediatric Traumatic Brain Injury

scholarly journals Size of bone flap in decompressive craniectomy: an analysis of complications and prognosis in traumatic brain injury

2019 ◽  
Author(s):  
Min Xu ◽  
Yu Luo ◽  
Pan Yi ◽  
Cunzu Wang
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Decompressive Craniectomy ◽  
Statistical Significance ◽  
Drug Efficacy ◽  
Neurological Status ◽  
Bone Flap ◽  
Prognostic Indicators ◽  
Subdural Effusion ◽  
Craniocerebral Injuries

Abstract Objective: To investigate association of size of bone flap with common complications and prognosis in traumatic brain injury. Methods: A retrospective analysis was performed in 108 TBI patients of Northern Jiangsu People's Hospital from January 2018 to March 2019. Patients’ gender, age, Glasgow Coma Scale at admisson, pupils reactivity to the light, size of bone flap, types of craniocerebral injuries and injury locations were recorded. Prognostic indicators including changes in hematoma volume and neurological status were extracted. Statistical methods were conducted to evaluate drug efficacy. Prognostic indicators including Glasgow Outcome Scale scores at discharge and GOS scores of 6 months after operation were extracted to evaluate surgical effcacy.Results : Postoperative complications such as encephalocele and subdural effusion were significantly associated with size of bone flap ( P <0.05). The incidence of encephalocele and SE increased with bone flap size in bone flap groups. Age, GCS at admisson, pupils reactivity to the light, and size of bone flap were shown significantly differences between prognosis groups ( P <0.05). By binary logistic regression, Age, pupils reactivity to the light, and the size of bone flap showed statistical significance ( P <0.05). Conclusion: Size of bone flap in decompressive craniectomy is a dependent factor to prognosis. Avoiding oversize craniectomy may bring less complications and positive prognosis.

scholarly journals Size of bone flap in decompressive craniectomy: an analysis of complications and prognosis in traumatic brain injury

2019 ◽  
Author(s):  
Min Xu ◽  
Yu Luo ◽  
Pan Yi ◽  
Cunzu Wang
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Decompressive Craniectomy ◽  
Statistical Significance ◽  
Drug Efficacy ◽  
Neurological Status ◽  
Bone Flap ◽  
Prognostic Indicators ◽  
Subdural Effusion ◽  
Craniocerebral Injuries

Abstract Abstract Objective: To investigate association of size of bone flap with common complications and prognosis in traumatic brain injury. Methods: A retrospective analysis was performed in 108 TBI patients of Northern Jiangsu People's Hospital from January 2018 to March 2019. Patients’ gender, age, Glasgow Coma Scale at admisson, pupils reactivity to the light, size of bone flap, types of craniocerebral injuries and injury locations were recorded. Prognostic indicators including changes in hematoma volume and neurological status were extracted. Statistical methods were conducted to evaluate drug efficacy. Prognostic indicators including Glasgow Outcome Scale scores at discharge and GOS scores of 6 months after operation were extracted to evaluate surgical effcacy. Results : Postoperative complications such as encephalocele and subdural effusion were significantly associated with size of bone flap ( P <0.05). The incidence of encephalocele and SE increased with bone flap size in bone flap groups. Age, GCS at admisson, pupils reactivity to the light, and size of bone flap were shown significantly differences between prognosis groups ( P <0.05). By binary logistic regression, Age, pupils reactivity to the light, and the size of bone flap showed statistical significance ( P <0.05). Conclusion: Size of bone flap in decompressive craniectomy is a dependent factor to prognosis. Avoiding oversize craniectomy may bring less complications and positive prognosis.

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