Indian Journal of Neurotrauma 2012; 09(02): 136-139
DOI: 10.1016/j.ijnt.2012.10.006
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Cranioplasty after decompressive craniectomy

Satya Bhusan Senapati
a   PG Department of Neuro Surgery, SCB Medical College and Hospital, Cuttack 753007, Odisha, India   Email: drsrikantadas@gmail.com   Email: senapati2k@yahoo.com
,
Sudhansu Sekhar Mishra
b   Prof and HOD, PG Department of Neuro Surgery, SCB Medical College and Hospital, Cuttack 753007, Odisha, India   Email: drssmishra@gmail.com
,
Srikanta Das
a   PG Department of Neuro Surgery, SCB Medical College and Hospital, Cuttack 753007, Odisha, India   Email: drsrikantadas@gmail.com   Email: senapati2k@yahoo.com
,
Pratap Chandra Satpathy
a   PG Department of Neuro Surgery, SCB Medical College and Hospital, Cuttack 753007, Odisha, India   Email: drsrikantadas@gmail.com   Email: senapati2k@yahoo.com
› Author Affiliations

Subject Editor:
Further Information

Publication History

22 July 2012

31 October 2012

Publication Date:
06 April 2017 (online)

Abstract

Decompressive craniectomy is a well accepted procedure for management of refractory intracranial hypertension after head trauma. All cases of decompressive craniectomy eventually require second surgery for cranioplasty. Most people believe that cranioplasty is for cosmetic purpose only, where as it has a definitive impact on restoration of normal intracranial physiology and improvement of patient neurological condition. There is conflicting opinion regarding timing for cranioplasty even in text books. In this article we describe operative procedure adopted by us for cranioplasty and simultaneously review the literature regarding appropriate timing for cranioplasty after decompressive craniectomy. We found there are definitive advantages of early cranioplasty over delayed cranioplasty. Points in favor of early cranioplasty are highlighted.

 
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