PriMera Scientific Surgical Research and Practice (ISSN: 2836-0028)

Research Article

Volume 2 Issue 5

Cranioplasty: Perspectives from Bauchi, North-East Nigeria

Olabisi O Ogunleye*, Haruna U Liman, Baje S Makama, Kefas J Bwala and Oluchukwu B Ogunleye

October 28, 2023

DOI : 10.56831/PSSRP-02-068

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Abstract

Introduction: Cranioplasty is a reconstructive procedure designed to repair skull defects or restore skull continuity following a previous operation or injury. Reconstruction with cranioplasty may be required after craniectomy to manage aesthetic disfigurement, increased intracranial pressure due to traumatic brain injury, ischemic stroke, or brain tumors.

Materials and Methods: This was a retrospective study carried out on 51 patients with cranial defects of different etiologies, sites and sizes who had cranioplasty in our hospital from January 2019 to December 2022.

Results: Fifty one patients included in the study, majority were in the age group of 21-30 years (37.3%). Mean age of the patients was 27.3 years. All patients had artificial material, polymethylmethacrylate (PMMA). The outcome of the procedure was good. The overall complication rate of 9.8% and reoperation rate of 3.8% were seen among our patients.

Conclusion: Cerebral protection and aesthetic contour of the cranium were achieved in all our patients. Cranioplasty is not without complications; however, good results are achievable in most of the patients.

Keywords: cranioplasty; craniectomy; trauma; brain

References

  1. Goldstein JA, Paliga JT and Bartlett SP. “Cranioplasty: indications and advances”. Curr Opin Otolaryngol Head Neck Surg 21 (2013): 400-409.
  2. Moin H, Mohagheghzadeh P and Darbansheikh A. “The use of frozen autogenous bone flap for cranioplasty”. JRMS10 (2005): 595‑7.
  3. Rish BL., et al. “Cranioplasty: A review of 1030 cases of penetrating head injury”. Neurosurgery 4 (1979): 381‑5.
  4. Broughton E, Pobereskin L and Whitfield PC. “Seven years of cranioplasty in a regional neurosurgical centre”. Br J Neurosurg 28 (2014): 34-39.
  5. Tsang AC., et al. “Complications of post-craniectomy cranioplasty: risk factor analysis and implications for treatment planning”. J Clin Neurosci 22 (2015): 834-837.
  6. Zanaty M., et al. “Complications following cranioplasty: incidence and predictors in 348 cases”. J Neurosurg 123 (2015): 182-188.
  7. Lee L., et al. “A retrospective analysis and review of an institution's experience with the complications of cranioplasty”. Br J Neurosurg 27 (2013): 629-635.
  8. Liang ES., et al. “Cranioplasty outcomes and associated complications: A single-centre observational study”. Br J Neurosurg (2015): 122-7.
  9. Bobinski L, Koskinen LO and Lindvall P. “Complications following cranioplasty using autologous bone or polymethylmethacrylate--retrospective experience from a single center”. Clin Neurol Neurosurg 115 (2013): 1788-1791.
  10. Huang YH., et al. “Acute autologous bone flap infection after cranioplasty for postinjury decompressive craniectomy”. Injury 44 (2013): 44-47.
  11. Kim JS., et al. “Analysis of the risk factors affecting the surgical site infection after cranioplasty following decompressive craniectomy”. Korean J Neurotrauma 11 (2015): 100-5.
  12. Kim SH., et al. “Comparison of complications following cranioplasty using a sterilized autologous bone flap or polymethyl methacrylate”. Korean J Neurotrauma 13 (2017): 15-23.
  13. Malcolm JG., et al. “Autologous cranioplasty is associated with increased reoperation rate: a systematic review and meta-analysis”. World Neurosurg 116 (2018): 80-68.
  14. Schwarz F., et al. “Cranioplasty after decompressive craniectomy: is there a rationale for an initial artificial bone-substitute implant? A single-center experience after 631 procedures”. J Neurosurg 124 (2016): 710-5.
  15. Hsu VM., et al. “A preliminary report on the use of antibiotic-impregnated methyl methacrylate in salvage cranioplasty”. J Craniofac Surg 25 (2014): 393-6.
  16. Rifkinson Mann S. “Cranial surgery in ancient Peru”. Neurosurgery 23 (1988): 411-6.
  17. Sanan A and Haines SJ. “Repairing holes in the head: A history of cranioplasty”. Neurosurgery 40 (1997): 588-603.
  18. Chun HJ and Yi HJ. “Efficacy and safety of early cranioplasty, at least within 1 month”. J Craniofac Surg 22 (2011): 203-7.
  19. Fodstad H., et al. “Effect of cranioplasty on cerebrospinal fluid hydrodynamics in patients with the syndrome of the trephined”. Acta Neurochir 70 (1984): 21-30.
  20. Won YD., et al. “Cranioplasty effect on the cerebral hemodynamics and cardiac function”. Acta Neurochir Suppl 102 (2008): 15-20.
  21. Dujovny M, Agner C and Aviles A. “Syndrome of the trephined: Theory and facts”. Crit Rev Neurosurg 9 (1999): 271-8.
  22. Moreira-Gonzalez A., et al. “Clinical outcome in cranioplasty: a critical review in long-term follow-up”. Journal of Craniofacial Surgery 14.2 (2003): 144-53.
  23. Andrabi SM., et al. “Cranioplasty: Indications, procedures, and outcome - An institutional experience”. Surg Neurol Int 8 (2017): 91.
  24. Lal PK and Shamim MS. “The evolution of cranioplasty: A review of graft types, storage options and operative technique”. Pakistan J Neurol Sci 7 (2012): 21‑7.
  25. VanGool AV. “Preformed polymethylmethacrylate cranioplasties: Report of 45 cases”. Journal of maxillofacial surgery 13 (1985): 2-8.
  26. Mostafa Elkatatny AAA and Eldabaa KA. “Cranioplasty: A New Perspective”. Maced J Med Sci 7.13 (2019): 2093-2101.
  27. Basheer N., et al. “Cranioplasty following decompressive craniectomy in traumatic brain injury: Experience at level‑I apex trauma centre”. Indian J Neurotrauma 7 (2010): 139‑44.