CRANIOPLASTY - REVIEW OF 1030 CASES OF PENETRATING HEAD-INJURY

被引:121
作者
RISH, BL [1 ]
DILLON, JD [1 ]
MEIROWSKY, AM [1 ]
CAVENESS, WF [1 ]
MOHR, JP [1 ]
KISTLER, JP [1 ]
WEISS, GH [1 ]
机构
[1] EASTERN VIRGINIA MED SCH,NORFOLK,VA 23507
关键词
D O I
10.1227/00006123-197905000-00002
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A total of 491 cranioplasties performed in a population of 1030 cases of penetrating head injury are reviewed. The morbidity rate was 5.5%, and the mortality rate was 0.2%. The clinical criteria of improving cosmetic defects and restoring craniocerebral protection are established, based on the location and size of the skull defect. Cranioplasty after penetrating head injury should be deferred for a minimum of 1 year to control morbidity. Complications of the original injury and surgical debridement increase the morbidity rate of cranioplasty. Post-traumatic epilepsy is not related to skull defects per se; neither it is affected by cranioplasty. Acrylic is an acceptable cranioplasty material if there is strict adherence to good surgical technique.
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页码:381 / 385
页数:5
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