| The Analysis of Surgical Results of Cranioplasty in Elderly Patients |
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Ji Min Park1 , Ki Seong Eom1 , Sae Ron Shin2, Sung Don Kang1 , Tae Young Kim1. |
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1Department of Neurosurgery, 2Department of Family Medicine, Wonkwang University School of Medicine, Iksan, Korea |
| 노인 환자에서 두개골 성형술의 치료 결과 분석 |
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박지민1ㆍ엄기성1ㆍ신새론2ㆍ강성돈1ㆍ김태영1 |
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원광대학교 의과대학 신경외과학교실 |
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| Abstract |
Objective
Cranioplasty is considered a relatively safe procedure for cosmetic and brain protective purposes following a decompressive
craniectomy due to severe head injury or stroke. There are limited data available on the possible complications and revision rate. We
aimed to analyze the surgical results of cranioplasty in relation to the age of the patients and to report our surgical experiences in treating
elderly patients.
Methods
In this retrospective study, we reviewed the case histories of 106 patients whom had undergone cranioplasty. In order to
identify the age-dependent clinical characteristics, the patients were divided into 2 groups according to their ages. Group A consisted of
80 patients aged under 64 years, group B consisted of 26 patients aged over 65 years. We analyzed the Causes of craniectomy, sex
ratio, materials used for covering defects of the skulls, period of craniectomy state (from craniectomy to cranioplasty), complications
and mortality in relation to the ages of the patients.
Results
The most frequent cause of initial craniectomy was trauma. Especially, subdural hematoma was the most common cause.
The male-to-female ratios were 2.5:1 in group A and 2.7:1 in group B. The Refrigerated autogenous bone flap-to allopalstic graft ratio were
3:1 in group A and 8:1 in group B. The period of craniectomy state were 122 days in group A and 107days in group B. There was no significant
difference in surgical complications and mortality between two group.
Conclusion
Our results show the patient’s age was not significantly associated with an unfavorable surgical outcome of cranioplasty.
Therefore, we recommend that even though old age, active surgical procedure should be considered. |
| Key Words:
CranioplastyㆍElderlyㆍComplication |
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