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Chapter 19 - Cranioplasty after Head Injury

Published online by Cambridge University Press:  28 April 2020

By
Stephen Honeybul
Edited by
Peter C. Whitfield ,
Jessie Welbourne ,
Elfyn Thomas ,
Fiona Summers ,
Maggie Whyte  and
Peter J. Hutchinson
Peter C. Whitfield
Affiliation:
Derriford Hospital, Plymouth
Jessie Welbourne
Affiliation:
University Hospitals, Plymouth
Elfyn Thomas
Affiliation:
Derriford Hospital, Plymouth
Fiona Summers
Affiliation:
Aberdeen Royal Infirmary
Maggie Whyte
Affiliation:
Aberdeen Royal Infirmary
Peter J. Hutchinson
Affiliation:
Addenbrooke’s Hospital, Cambridge
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Summary

There continues to be considerable interest in the use of decompressive craniectomy following severe traumatic brain injury. The results of trials have confirmed the significant survival advantage; however, evidence that outcome is improved when compared with those patients who survive following medical management is less forthcoming.1,2 This may be for a number of reasons not least of which is the morbidity associated with the initial decompressive craniectomy and the subsequent cranioplasty. If use of the procedure is to continue, ongoing research is required to clarify issues regarding optimal surgical timing and surgical technique, the most appropriate reconstructive materials and minimisation of surgical complications.

Type
Chapter
Information
Traumatic Brain Injury
A Multidisciplinary Approach
 , pp. 238 - 246
Publisher: Cambridge University Press
Print publication year: 2020

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References

Hutchinson, PJ, Kolias, AG, Timofeev, IS, et al. Trial of decompressive craniectomy for traumatic intracranial hypertension. N Engl J Med 2016;375:1119–30.CrossRefGoogle ScholarPubMed
Honeybul, S. Decompressive craniectomy for severe traumatic brain injury reduces mortality but increases survival with severe disability. Evid Based Med 2017;22:61.Google Scholar
Honeybul, S, Ho, KM. Cranioplasty: morbidity and failure. Br J Neurosurg 2016;30:523–8.Google Scholar
Grant, FC, Norcross, NC. Repair of cranial defects by cranioplasty. Ann Surg 1939;110:488–512.CrossRefGoogle ScholarPubMed
Granthan, E, Landis, H. Cranioplasty and the post traumatic syndrome. J Neurosurg 1947;5:19–22.CrossRefGoogle Scholar
Yamaura, A, Makino, H. Neurological deficits in the presence of the sinking skin flap following decompressive craniectomy. Neurol Med Chir (Tokyo) 1977;17:43–53.CrossRefGoogle ScholarPubMed
Stiver, SI, Wintermark, M, Manley, GT. Reversible monoparesis following decompressive hemicraniectomy for traumatic brain injury. J Neurosurg 2008;109:245–54.CrossRefGoogle ScholarPubMed
Honeybul, S. Neurological susceptibility to a skull defect. Surg Neurol Int 2014;5:83.CrossRefGoogle ScholarPubMed
Honeybul, S, Janzen, C, Kruger, K, et al. The incidence of neurologic susceptibility to a skull defect. World Neurosurg 2016;86:147–52.CrossRefGoogle ScholarPubMed
Matsuno, A, Tanaka, H, Iwamuro, H, et al. Analyses of the factors influencing bone graft infection after delayed cranioplasty. Acta Neurochir (Wien) 2006;148:535–40.CrossRefGoogle ScholarPubMed
Dünisch, P, Walter, J, Sakr, Y, et al. Risk factors of aseptic bone resorption: a study after autologous bone flap reinsertion due to decompressive craniotomy. J Neurosurg 2013;118:1141–7.Google Scholar
Honeybul, S, Morrison, DA, Ho, KM, et al. A randomized controlled trial comparing autologous cranioplasty with custom-made titanium cranioplasty. J Neurosurg 2017;126:81–90.CrossRefGoogle ScholarPubMed
Hieu, LC, Bohez, E, Vander Sloten, J, et al. Design and manufacturing of cranioplasty implants by 3-axis CNC milling. Technol Health Care 2002;10:413–23.Google Scholar
Costantino, PD, Chaplin, JM, Wolpoe, ME, et al. Applications of fast-setting hydroxyapatite cement: cranioplasty. Otolaryngol Head Neck Surg 2000;123:409–12.CrossRefGoogle ScholarPubMed
Durham, SR, McComb, JG, Levy, ML. Correction of large (>25 cm(2)) cranial defects with ‘reinforced’ hydroxyapatite cement: technique and complications. Neurosurgery 2003;52:842–5.CrossRefGoogle Scholar
Wong, RK, Gandolfi, BM, St-Hilaire, H, et al. Complications of hydroxyapatite bone cement in secondary pediatric craniofacial reconstruction. J Craniofac Surg 2011;22:247–51.CrossRefGoogle ScholarPubMed
Saringer, W, Nöbauer-Huhmann, I, Knosp, E. Cranioplasty with individual carbon fibre reinforced polymer (CFRP) medical grade implants based on CAD/CAM technique. Acta Neurochir (Wien) 2002;144:1193–203.Google Scholar
Scolozzi, P, Martinez, A, Jaques, B. Complex orbito-fronto-temporal reconstruction using computer-designed PEEK implant. J Craniofac Surg 2007;18:224–8.CrossRefGoogle ScholarPubMed
Arnaud, E. Advances in cranioplasty with osteoinductive biomaterials: summary of experimental studies and clinical prospects. Childs Nerv Syst 2000;16:659–68.CrossRefGoogle ScholarPubMed
Morrison, DA, Kop, AM, Nilasaroya, A, Sturm, M, Shaw, K, Honeybul, S. Cranial reconstruction using allogeneic mesenchymal stromal cells: a phase 1 first-in-human trial. J Tissue Eng Regen Med 2017 [Epub ahead of print]Google Scholar
Joffe, J, Harris, M, Kahugu, F, et al. A prospective study of computer-aided design and manufacture of titanium plate for cranioplasty and its clinical outcome. Br J Neurosurg 1999;13:576–80.CrossRefGoogle ScholarPubMed
Gooch, MR, Gin, GE, Kenning, TJ, et al. Complications of cranioplasty following decompressive craniectomy: analysis of 62 cases. Neurosurg Focus 2009;26:E9.Google Scholar
Honeybul, S. Management of the temporal muscle during cranioplasty: technical note. J Neurosurg Pediatr 2016;17:701–4.Google Scholar
Honeybul, S. Sudden death following cranioplasty: a complication of decompressive craniectomy for head injury. Br J Neurosurg 2011;25:343–5.CrossRefGoogle ScholarPubMed
Honeybul, S, Damodaran, O, Lind, CR, et al. Malignant cerebral swelling following cranioplasty. J Clin Neurosci 2016;29:3–6.CrossRefGoogle ScholarPubMed
Broughton, E, Pobereskin, L, Whitfield, PC. Seven years of cranioplasty in aregional neurosurgical centre. Br J Neurosurg 2014;28:34–9.CrossRefGoogle Scholar
Sviri, GE. Massive cerebral swelling immediately after cranioplasty, a fatal and unpredictable complication: report of 4 cases. J Neurosurg 2015;123:1188–93.Google Scholar
Honeybul, S, Ho, KM. How ‘successful’ is calvarial reconstruction using frozen autologous bone? Plast Reconstr Surg 2012;130:1110–17.CrossRefGoogle ScholarPubMed
Grant, GA, Jolley, M, Ellenbogen, RG, et al. Failure of autologous bone-assisted cranioplasty following decompressive craniectomy in children and adolescents. J Neurosurg 2004;100(2Suppl Pediatrics):163–8.Google ScholarPubMed
Stieglitz, LH, Fung, C, Murek, M, et al. What happens to the bone flap? Long-term outcome after reimplantation of cryoconserved bone flaps in a consecutive series of 92 patients. Acta Neurochir (Wien) 2015;157:275–80.CrossRefGoogle Scholar

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