Retrospective Review and Analysis on Outcome of Cranioplasty: A Series of 38 Cases

Authors

  • AKM Bazlul Karim Associate Professor, Department of Neurosurgery, Enam Medical College & Hospital
  • Riad Habib Assistant Professor, Department of Neurosurgery, Enam Medical College & Hospital
  • Abu Tahir Mohammad Sahidullah Monsur Associate Professor Department of Neuro ICU & Anaesthesia, Enam Medical College & Hospital
  • Kawshik Ahmed Medical Officer, Department of Neurosurgery, Enam Medical College & Hospital
  • Mir Shamsad Hossain Medical Officer, Department of Neurosurgery, Enam Medical College & Hospital
  • Mithun Kumar Dey Medical Officer, Department of Neurosurgery, Enam Medical College & Hospital
  • Atique Bin Hussain Medical Officer, Department of Neurosurgery, Enam Medical College & Hospital
  • Adnan Moasir Hasnine Registrar, Department of Neurosurgery, Enam Medical College & Hospital
  • Md Mamun Reza Registrar, Department of Neurosurgery, Enam Medical College & Hospital
  • Dibakar Chaudhury Anesthesiologist, Shaheed Suhrawardy Medical College Hospital
  • MD Rezwan Radid Anesthesiologist, Shaheed Suhrawardy Medical College Hospital
  • Aziza Khatun Ex- Medical officer, Department of Neurosurgery, Enam Medical College & Hospital
  • Md Arif Hasan Junior Consultant, Department of Neuro ICU & Anaesthesia, Enam Medical College & Hospital
  • Kazi Shahabulbul Islam Ex- Junior Consultant, Department of Neuro ICU & Anaesthesia, Enam Medical College & Hospital
  • Md Ashiqul Muhit khan Ex- Junior Consultant, Department of Neuro ICU & Anaesthesia, Enam Medical College & Hospital
  • Md Ifran Ahmed Resident, Anaesthesia,Analgesia,Palliative care & Intensive Care, DMCH.

DOI:

https://doi.org/10.3329/bjns.v13i1.72281

Keywords:

Cranioplasty, retrospective

Abstract

Background: Cranioplasty (CP) is a straightforward procedure, it may result in a significant number of complications. These include infections, seizures, intracranial hematomas, and others.

Objective: This was a retrospective study on outcome of Cranioplasty.

Materials and Methods: This retrospective study included patients who underwent decompressive craniectomy due to traumatic brain injury with raised ICP, acute subdural hematoma, compound comminuted skull fracture & ICH, between January January 2019 to December 2020 at Enam Medical College & Hospital, Savar, Dhaka. Data were collected in pre-designed data collection sheet and were analyzed using computerbased programme statistical package for social science (SPSS) windows version 25.

Results: This study showed maximum patients (34.2%) were between 21-30 years age. Majority were male (89.5%) and only 5.9% were female. Overall rate of complications was 10.5%. Among them new onset seizure (n = 4), indrawing of skin through bone gap (n=4), hemorrhage (n=2), infection (n = 1), HCP (n = 1), and exposed implant (n=1).

Conclusion: We have found the outcome of cranioplasty was better with titanium mesh plate and screw than conventional fixation of bone with polyglactin, polypropylene suture and titanium miniplate and screw. With polypropylene and polyglactin there is more chance of inward displacement of bone fragment and with miniplate and screw there is still chance of indrawing of bone fragment through the bone gap.  

Bang. J Neurosurgery 2023; 13(1): 20-23

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Published

2024-05-08

How to Cite

AKM Bazlul Karim, Riad Habib, Abu Tahir Mohammad Sahidullah Monsur, Kawshik Ahmed, Mir Shamsad Hossain, Mithun Kumar Dey, Atique Bin Hussain, Adnan Moasir Hasnine, Md Mamun Reza, Dibakar Chaudhury, MD Rezwan Radid, Aziza Khatun, Md Arif Hasan, Kazi Shahabulbul Islam, Md Ashiqul Muhit khan, & Md Ifran Ahmed. (2024). Retrospective Review and Analysis on Outcome of Cranioplasty: A Series of 38 Cases. Bangladesh Journal of Neurosurgery, 13(1), 20–23. https://doi.org/10.3329/bjns.v13i1.72281

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Original Articles