Korean J Neurotrauma.  2017 Apr;13(1):9-14. 10.13004/kjnt.2017.13.1.9.

Review of Cranioplasty after Decompressive Craniectomy

• Cho YJ
• Kang SH

• KMID: 2378244
• DOI: http://doi.org/10.13004/kjnt.2017.13.1.9

Abstract

Cranioplasty is an in evitable operation conducted after decompressive craniectomy (DC). The primary goals of cranioplasty after DC are to protect the brain, achieve a natural appearance and prevent sinking skin flap syndrome (or syndrome of the trephined). Furthermore, restoring patients' functional outcome and supplementing external defects helps patients improve their self-esteem. Although early cranioplasty is preferred in recent year, optimal timing for cranioplasty remains a controversial topic. Autologous bone flaps are the most ideal substitute for cranioplasty. Complications associated with cranioplasty are also variable, however, post-surgical infection is most common. Many new materials and techniques for cranioplasty are introduced. Cost-benefit analysis of these new materials and techniques can result in different outcomes from different healthcare systems.

Keyword

Cranioplasty; Cost-Benefit analysis; Complications; Cosmetics; Outcome

MeSH Terms

Brain
Cost-Benefit Analysis
Decompressive Craniectomy*
Delivery of Health Care
Humans
Skin

Figure

• 

  FIGURE 1 Brain computed tomography (CT) three-dimensional (3D) reconstructions after cranioplasty with Titanium skull flap. Bone flap is made by 3D printing with electron beam melting technique. Pre-craniectomy brain CT and pre-cranioplasty CT were used for tailored flap. Subgaleal drain catheter is seen above metal flap. (A) Frontal view, (B) Right lateral view, and (C) Apical view.

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