Document Detail


Extensive duraplasty with autologous graft in decompressive craniectomy and subsequent early cranioplasty for severe head trauma.
MedLine Citation:
PMID:  20880449     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVE: To compare the effect of extensive duraplasty and subsequent early cranioplasty on the recovery of neurological function in management of patients with severe traumatic brain injuries received decompressive craniectomy.
METHODS: The computer-aided designation of titanium armor plate was used as a substitute for the repair of skull defect in all the patients. The patients were divided into three groups. Twenty-three patients were in early cranioplasty group who received extensive duraplasty in craniectomy and subsequent cranioplasty within 3 months after previous operation (Group I). Twenty-one patients whose cranioplasty was performed more than 3 months after the first operation were in the group without duraplasty (Group II); while the other 26 patients in the group with duraplasty in previous craniotomy (Group III). Both the Barthel index of activity of daily living (ADL) 3 months after craniotomy for brain injuries and 1 month after cranioplasty and Karnofsky Performance Score (KPS) at least 6 months after cranioplasty were assessed respectively.
RESULTS: The occurrence of adverse events commonly seen in cranioplasty, such as incision healing disturbance, fluid collection below skin flap, infection and onset of postoperative epilepsy was not significantly higher than other 2 groups. The ADL scores at 3 months after craniotomy in Groups I-III were 58.9 ± 26.7, 40.8 ± 20.2 and 49.2 ± 18.6. The ADL scores at 1 month after cranioplasty were 70.2 ± 25.2, 50.8 ± 24.8 and 61.2 ± 21.5. The forward KPS scores were 75.4 ± 19.0, 66.5 ± 24.7 and 57.6 ± 24.7 respectively. The ADL and KPS socres were significantly higher in group I than other 2 groups.
CONCLUSION: The early cranioplasty in those with extensive duraplasty in previous craniotomy is feasible and helpful to improving ADL and long-term quality of life in patients with severe traumatic brain injuries.
Authors:
Guo-liang Zhang; Wei-zhong Yang; Yan-wei Jiang; Tao Zeng
Related Documents :
24026089 - Hysteroscopic metroplasty: reproductive outcome in relation to septum size.
2019069 - Microsurgery in hand and forearm reconstructive surgery.
23703789 - Radiological-pathological analysis of who,recist,easl,mrecistand dwi:imaging analysis f...
17282749 - Gastric impedance spectroscopy in cardiovascular surgery patients vs. healthy volunteers.
9840769 - Gunshot wounds in brains of children: prognostic variables in mortality, course, and ou...
9115649 - A critical appraisal of pediculated omental graft transposition in progressive spinal c...
14660919 - Endonasal surgery for contact point headaches: a 10-year longitudinal study.
17413469 - Surgical strategy for cervical myelopathy due to ossification of the posterior longitud...
23644919 - A prospective study of fertility-sparing treatment with megestrol acetate following hys...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Chinese journal of traumatology = Zhonghua chuang shang za zhi / Chinese Medical Association     Volume:  13     ISSN:  1008-1275     ISO Abbreviation:  Chin. J. Traumatol.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100886162     Medline TA:  Chin J Traumatol     Country:  China    
Other Details:
Languages:  eng     Pagination:  259-64     Citation Subset:  IM    
Affiliation:
Neurosurgery Department, Affiliated Union Hospital, Fujian Medical University, Fuzhou 350001, China.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Dantrolene in the treatment of MDMA-related hyperpyrexia: a systematic review.
Next Document:  Burr-hole craniotomy treating chronic subdural hematoma: a report of 398 cases.