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[Late results of cranioplasty using explants in children]
Insights
Early cranioplasty in children after craniocerebral injury is recommended. Prompt surgical intervention prevents complications like meningocerebral scarring, leading to better outcomes than delayed procedures.
Area of Science:
- Pediatric Neurosurgery
- Craniofacial Surgery
Context:
- Analysis of 101 pediatric clinical cases involving cranioplasty.
- Cranioplasty performed after craniocerebral injury, bone resorption, or anterior craniocerebral herniations.
Purpose:
- To evaluate the effectiveness of early versus late cranioplasty in pediatric patients.
- To assess long-term outcomes following cranioplasty in children.
Summary:
- 91 children underwent cranioplasty post-craniocerebral injury; 10 had other indications.
- Age range: 3 months to 16 years.
- Follow-up data available for 79 patients, with 31 monitored for 10-25 years post-procedure.
Impact:
- Early cranioplasty in children is crucial for preventing meningocerebral scarring and adhesions.
- Timely surgical intervention demonstrates superior efficacy compared to late cranioplasty.
Abstract:
The work is based on the analysis of 101 clinical cases in 91 of which children were subjected to cranioplasty in different periods after operation for craniocerebral injury, which terminated in the formation of a bone defect. In 5 children cranioplasty was conducted because the bone in the area of the linear fracture had resorbed, and in another 5 children it was carried out as a final stage of operation for anterior craniocerebral herniations. The children's age ranged from 3 months to 16 years. The late results of treatment were studied in 79 of 101 patients in follow-up periods of 12 months to 25 years, in 31 of them in periods of 10 to 25 years after cranioplasty. Cranioplasty must be undertaken in children as early as possible. Primary and early cranioplasty are conductive to the prevention of the formation of a meningocerebral cicatrix and a coarse adhesive process in the meninges and brain matter and are more effective than late cranioplasty.