British journal of neurosurgery · 2013
The utility of calcium phosphate cement in cranioplasty following retromastoid craniectomy for cranial neuralgias.
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Frederickson Andrew M, Sekula Raymond F
Аннотация
BACKGROUND: Following retromastoid craniectomy for microvascular decompression of the fifth or seventh cranial nerve, the preferred method and value of cranioplasty remains disputed.
METHODS: In this study, we report the functional outcome of calcium phosphate cranioplasty following first-time microvascular decompression in 79 consecutive patients who underwent operations over a one-year period.
RESULTS: No patient experienced a deep infection, cerebrospinal fluid leak or undue incisional pain at long-term follow-up. Additionally, all patients stated that they were satisfied with the cosmetic outcome.
DISCUSSION: Although this technique is unlikely to affect the rates of infection and postoperative pain, we believe that the low rate of CSF leak provides a unique advantage over other currently used methods of closing retromastoid craniectomies.
METHODS: In this study, we report the functional outcome of calcium phosphate cranioplasty following first-time microvascular decompression in 79 consecutive patients who underwent operations over a one-year period.
RESULTS: No patient experienced a deep infection, cerebrospinal fluid leak or undue incisional pain at long-term follow-up. Additionally, all patients stated that they were satisfied with the cosmetic outcome.
DISCUSSION: Although this technique is unlikely to affect the rates of infection and postoperative pain, we believe that the low rate of CSF leak provides a unique advantage over other currently used methods of closing retromastoid craniectomies.
Предметные рубрики MeSH
AdultAgedAged, 80 and overBone CementsCalcium PhosphatesCerebrospinal Fluid LeakCerebrospinal Fluid RhinorrheaCranial Nerve DiseasesCraniotomyFemaleHemifacial SpasmHumansMaleMastoidMicrovascular Decompression SurgeryMiddle AgedNeuralgiaPostoperative PainPostoperative ComplicationsPlastic Surgery ProceduresRetrospective StudiesSurgical Wound InfectionTrigeminal Neuralgia