| Comparison of the Surgical Results of Cranioplasty after Craniectomy between the Elderly
and the Younger Patients |
|
Chong In Kim , Young Seok Park , Kyung Soo Min , Mou Seop Lee, Young Gyu Kim , Dong Ho Kim |
|
Department of Neurosurgery, Chungbuk National University School of Medicine, Cheongju, Korea |
| 젊은 환자와 노인 환자의 두개골 절제술 후에 시행한 두개골
성형술의 치료 결과 분석 |
|
김종인·박영석·민경수·이무섭·김영규·김동호 |
|
충북대학교 의과대학 신경외과학교실 |
|
|
| Abstract |
Objective
The aim of this study was to compare the surgical outcomes between nonelderly and elderly patients who
underwent cranioplasty after craniectomy state.
Methods
The authors retrospectively analyzed the surgical and medical records of 63 patients who underwent cranioplasty
from January 2003 to December 2012. The patients were divided into two groups with age(group A: age 11-
64 years, group B: age >65).The factors investigated were including age at cranioplasty, gender, diagnosis predisposing
cranioplasty, type of graft (autologous vs. polymethylmethacrylate), operation time, and time elapsed between
craniectomy and cranioplasty.
Results
There were 50 patients younger than 65 years and 13 patients older than 65 years who had undergone
cranioplasty. There were no significant different in male to female ratio and the most frequent cause of initial craniectomy
was trauma. The cryopreserved autologous bone flaps were used 45 (71.4%) in group A and 13 (20.6%) in
group B. Only group A included 5 cases of alloplastic graft marterial. The period of craniectomy state were 72 days
in group A and 147 days in group B. The number of patients who showed complications after cranioplasty were 7 in
group A and 2 in group B.
Conclusion
The result of our study shows the elderly patients are not significantly associated with an unfavorable
surgical outcome of cranioplasty. But we always considered elderly patient’s health state before the surgery to prevent
other complication. |
| Key Words:
CranioplastyㆍCraniectomyㆍElderlyㆍComplication |
|
PDF Links
Download Citation
