Craniomaxillofacial trauma & reconstruction
-
Craniomaxillofac Trauma Reconstr · Sep 2015
Delayed Cranioplasty: Outcomes Using Frozen Autologous Bone Flaps.
Reconstruction of skull defects following decompressive craniectomy is associated with a high rate of complications. Implantation of autologous cryopreserved bone has been associated with infection rates of up to 33%, resulting in considerable patient morbidity. Predisposing factors for infection and other complications are poorly understood. ⋯ Cranioplasty using frozen autologous bone is associated with a high rate of infective complications. Intraoperative CSF leak is a potentially modifiable risk factor. Meticulous dissection during cranioplasty surgery to minimize the chance of breaching the dural or pseudodural plane may reduce the chance of bone flap.