A STUDY ON CRANIOPLASTY USING AUTOLOGOUS BONE FLAP PRESERVED IN ABDOMINAL WALL

Volume : VII, Issue : V, May - 2018

Dr. C Ramasamy, Dr. C. Mayilan

Aim and objective :

The aim of the present clinical study is to evaluate the efficacy of preservation of calvarial bone in an abdominal pouch for being

used later for cranioplasty.

Materials and Methods

All stroke and TBI patients with refractory raised ICP operated with an emergency decompressive craniectomy between july 2007

and Jan, 2017 at a single hospital, were included After exclusion, a total of 211 patients were taken for consideration and analysis.

For the retrospective analysis of the efficiency of autologous bone graft preserved in the abdominal wall, for cranioplasty, All

decompressive craniectomy patients who underwent subsequent cranioplasty were identified, and a database was created with

relevant variables, including post–operative complications. Age, gender, co–morbidity, indication for Decompressive craniectomy,

method of implanting in abdomen, Operating time, cranial surgery prior to Decompressive craniectomy time between

Decompressive craniectomy and Cranioplasty, complications like implant rejection, SSI, Osteomyelitis, and abdominal wound

complications if any, have all been recorded and studied.

Conclusion:

We from our retrospective analysis, conclude that storage of the patients own bone flap in the abdominal pocket is a safe, easy,

cheap, sterile, histocompatible, and better cosmetic results. When replacement the bone removed at craniectomy, a fresh skull

autograft is superior to all alternative forms of cranioplasty such as methylmetacrylate or metallic prosthesis. When compared to

the use of synthetic cranioplasty materials, a personal bone flap has very low percentage of inflammatory complications.