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Rajkumar P, Subramanian T, Duraisamy J, Shankar Komarraju A. Retrospective Analysis of two different Cranioplasty Methods : A Single Institution Experience. Iran J Neurosurg 2025; 11 : 20
URL: http://irjns.org/article-1-467-en.html
URL: http://irjns.org/article-1-467-en.html
1- Department of Neurosurgery, PSG Institute of Medical Sciences and Research, Coimbatore, India.
2- Department of Neurosurgery, PSG Institute of Medical Sciences and Research, Coimbatore, India. ,jayaprakashduraisamy@yahoo.com
2- Department of Neurosurgery, PSG Institute of Medical Sciences and Research, Coimbatore, India. ,
Abstract: (41 Views)
Background and Importance: Decompressive craniectomy is an emergency neurosurgical procedure to reduce intracranial hypertension. Cranioplasty is an elective neurosurgical procedure to reconstruct the skull defect due to decompressive craniectomy. This study aims to review two different types of cranioplasty and comparecomputer-designed patientspecific titanium implant cranioplasty against titanium mesh with polymethyl methacrylate (PMMA) cranioplasty, regardingtheir complications and outcomes after the procedure.
Case Presentation: This is a retrospective analysis of 150 patients who had undergone cranioplasty in PSG Institute of Medical Sciences and Research, Coimbatore, India from January 2014 to January 2023. A total of 46 patients underwent cranioplasty with a computerdesigned, patient-specific titanium implant, and 104 patients underwent cranioplasty with a titanium mesh and PMMA implant. The parameters compared between the two procedures included the timing of surgery, cosmetic satisfaction, duration of hospital stay, wound infection, wound gaping, implant exposure, and necessity of implant removal.
Conclusion: Even though both procedures protect brain parenchyma from injuries due to direct trauma, patient-specific implant cranioplasty yielded shorter operating time, less wound infection, smaller wound gaping, reduced implant exposure, and better cosmetic appearance when compared with titanium mesh with PMMA implant cranioplasty.
Case Presentation: This is a retrospective analysis of 150 patients who had undergone cranioplasty in PSG Institute of Medical Sciences and Research, Coimbatore, India from January 2014 to January 2023. A total of 46 patients underwent cranioplasty with a computerdesigned, patient-specific titanium implant, and 104 patients underwent cranioplasty with a titanium mesh and PMMA implant. The parameters compared between the two procedures included the timing of surgery, cosmetic satisfaction, duration of hospital stay, wound infection, wound gaping, implant exposure, and necessity of implant removal.
Conclusion: Even though both procedures protect brain parenchyma from injuries due to direct trauma, patient-specific implant cranioplasty yielded shorter operating time, less wound infection, smaller wound gaping, reduced implant exposure, and better cosmetic appearance when compared with titanium mesh with PMMA implant cranioplasty.
Article number: 20
Type of Study: Case Series |
Subject:
Basic Neurosurgery
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This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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