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Chapter 19 - Cranioplasty after Head Injury

Published online by Cambridge University Press:  28 April 2020

By
Stephen Honeybul
Edited by
Peter C. Whitfield ,
Jessie Welbourne ,
Elfyn Thomas ,
Fiona Summers ,
Maggie Whyte  and
Peter J. Hutchinson
Peter C. Whitfield
Affiliation:
Derriford Hospital, Plymouth
Jessie Welbourne
Affiliation:
University Hospitals, Plymouth
Elfyn Thomas
Affiliation:
Derriford Hospital, Plymouth
Fiona Summers
Affiliation:
Aberdeen Royal Infirmary
Maggie Whyte
Affiliation:
Aberdeen Royal Infirmary
Peter J. Hutchinson
Affiliation:
Addenbrooke’s Hospital, Cambridge
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Summary

There continues to be considerable interest in the use of decompressive craniectomy following severe traumatic brain injury. The results of trials have confirmed the significant survival advantage; however, evidence that outcome is improved when compared with those patients who survive following medical management is less forthcoming.1,2 This may be for a number of reasons not least of which is the morbidity associated with the initial decompressive craniectomy and the subsequent cranioplasty. If use of the procedure is to continue, ongoing research is required to clarify issues regarding optimal surgical timing and surgical technique, the most appropriate reconstructive materials and minimisation of surgical complications.

Type
Chapter
Information
Traumatic Brain Injury
A Multidisciplinary Approach
 , pp. 238 - 246
Publisher: Cambridge University Press
Print publication year: 2020

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References

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