DOI QR코드

DOI QR Code

In Situ Floating Resin Cranioplasty for Cerebral Decompression

  • Ahn, Duck-Hyung (Department of Neurosurgery, Wonkwang University School of Medicine, Institute of Wonkwang Medical Science) ;
  • Kim, Dae-Won (Department of Neurosurgery, Wonkwang University School of Medicine, Institute of Wonkwang Medical Science) ;
  • Kang, Sung-Don (Department of Neurosurgery, Wonkwang University School of Medicine, Institute of Wonkwang Medical Science)
  • Published : 2009.10.28

Abstract

The purpose of this report is to describe our surgical experiences in the treatment of cerebral decompression with in situ floating resin cranioplasty. We included in this retrospective study 7 patients who underwent in situ floating resin cranioplasty for cerebral decompression between December 2006 and March 2008. Of these patients, 3 patients had traumatic brain injury, 3 cerebral infarction, and one subarachnoid hemorrhage due to aneurysmal rupture. In situ floating resin cranioplasty for cerebral decompression can reduce complications related to the absence of a bone flap and allow reconstruction by secondary cranioplasty without difficulty. Furthermore, it provides cerebral protection and selectively eliminates the need for secondary cranioplasty in elderly patients or patients who have experienced unfavorable outcome.

Keywords

References

  1. Bayir H, Clark RS, Kochanek PM : Promising strategies to minimize secondary brain traumatic brain injury after head trauma. Crit Care Med 31 (1 Suppl) : S112-S117, 2003
  2. Coplin WM, Cullen NK, Policherla PN, Vinas FC, Wilseck JM, Zafonte RD, et al. : Safety and feasibility of craniectomy with duroplasty as the initial surgical intervention for severe traumatic brain injury. J Trauma 50 : 1050-1059, 2001 https://doi.org/10.1097/00005373-200106000-00013
  3. Fodstad H, Love JA, Ekstedt J, Friden H, Liliquist B : Effect of cranioplasty on cerebrospinal fluid hydrodynamics in patients with the syndrome of the trephined. Acta Neurochir (Wien) 70 : 21-30, 1984 https://doi.org/10.1007/BF01406039
  4. Hejazi N, Witzmann A, Fae P : Unilateral decompressive craniectomy for children with severe brain injury. Report of seven cases and review of the relevant literature. Eur J Pediatr 161 : 99-104, 2002 https://doi.org/10.1007/s00431-001-0864-x
  5. Hofmeijer J, van der Worp HB, Kappelle LJ : Treatment of spaceoccupying cerebral infarction. Crit Care Med 31 : 617-625, 2003 https://doi.org/10.1097/01.CCM.0000050446.16158.80
  6. Hutchinson PJ, Kirkpatrick PJ : Decompressive craniectomy in head injury. Curr Opin Crit Care 10 : 101-104, 2004 https://doi.org/10.1097/00075198-200404000-00004
  7. Jaeger M, Soehle M, Meixensberger J : Effects of decompressive craniectomy on brain tissue oxygen in patients with intracranial hypertension. J Neurol Neurosurg Psychiatry 74 : 513-515, 2003 https://doi.org/10.1136/jnnp.74.4.513
  8. Ko K, Segan S : In situ hinge craniectomy. Neursurgy 60 : 255-258; discussion 258-259, 2007
  9. Kontopoulos V, Foroglou N, Patsalas J, Magras J, Foroglou G, Yiannakou-Pephtoulidou M, et al. : Decompressive craniectomy for the management of patients with refractory hypertension : should it be reconsidered? Acta Neurochir (Wien) 144 : 791-796, 2002 https://doi.org/10.1007/s00701-002-0948-z
  10. M$\ddot{u}$nch E, Horn P, Sch$\ddot{u}$rer L, Piepgras A, Paul T, Schmiedek P : Management of severe traumatic brain injury by decompressive craniectomy. Neurosurgery 47 : 315-322; discussion 322-323, 2000 https://doi.org/10.1097/00006123-200008000-00009
  11. Park J, Kim E, Kim GJ, Hur YK, Guthikonda M : External decompressive craniectomy including resection of temporal muscle and fascia in malignant hemispheric infarction. J Neurosurg 110 : 101-105, 2009 https://doi.org/10.3171/2008.4.17540
  12. Schmidt JH, Reyes BJ, Fischer R, Flaherty SK : Use of hinge craniotomy for cerebral decompression. Technical note. J Neurosurg 107 : 678-682, 2007 https://doi.org/10.3171/JNS-07/09/0678
  13. Schneider GH, Bardt T, Lanksch WR, Unterberg A : Decompressive craniectomy following traumatic brain injury. Acta Neurochir 81 : 77-79, 2002 https://doi.org/10.1007/BF01456269
  14. Stefini R, Latronico N, Cornali C, Rasulo F, Bollati A : Emergent decompressive craniectomy in patient with fixed dilated pupils due to cerebral venous and dural sinus thrombosis: report of three cases. Neurosurgery 45 : 626-629; discussion 629-630, 1999 https://doi.org/10.1097/00006123-199909000-00038
  15. Tabaddor K, LaMorgeses J : Complication of a large cranial defect. Case report. J Neurosurg 44 : 506-508, 1976 https://doi.org/10.3171/jns.1976.44.4.0506
  16. Traxler H, Ender HG, Weber G, Surd R, Redl H, Firbas W : Applying circular posterior-hinged craniotomy to malignant cerebral edemas. Clin Anat 15 : 173-181, 2002 https://doi.org/10.1002/ca.10022
  17. Yamaura A, Makino H : Neurological deficits in the presence of the sinking skin flap following decompressive craniectomy. Neurol Med Chir (Tokyo) 17 : 43-53, 1977

Cited by

  1. In situ free-floating craniectomy for traumatic cerebral decompression in an infant: A field hospital solution vol.2, pp.None, 2009, https://doi.org/10.4103/2152-7806.89855
  2. The floating anchored craniotomy vol.8, pp.1, 2009, https://doi.org/10.4103/sni.sni_460_16
  3. Biomechanics of a novel reversibly expandable dynamic craniotomy bone flap fixation plate vol.132, pp.2, 2009, https://doi.org/10.3171/2018.8.jns172614
  4. Biomechanics of a novel reversibly expandable dynamic craniotomy bone flap fixation plate vol.132, pp.2, 2009, https://doi.org/10.3171/2018.8.jns172614
  5. Hinge/floating craniotomy as an alternative technique for cerebral decompression: a scoping review vol.43, pp.6, 2009, https://doi.org/10.1007/s10143-019-01180-7
  6. Split-Thickness Decompression in the Management of Intracranial Pressure vol.17, pp.1, 2009, https://doi.org/10.13004/kjnt.2021.17.e6