Cranioplasty: cosmetic or therapeutic?

Area of Science:

• Neurosurgery
• Surgical History

Background:

• Cranioplasty is an ancient surgical procedure.
• Bone removal from the skull can result from trauma, infections, tumors, or brain edema.
• Indications for cranioplasty have historically lacked clear definition, often being cosmetic.

Purpose of the Study:

• To explore the physiopathological basis of the "syndrome of the trephined."
• To enhance understanding of the current status of cranioplasty.
• To evaluate the potential therapeutic role of cranioplasty.

Main Methods:

• Literature review on cranioplasty indications and outcomes.
• Discussion of the "syndrome of the trephined" pathophysiology.
• Analysis of patient improvement post-cranioplasty.

Main Results:

• The "syndrome of the trephined" suggests underlying physiological alterations may occur after bone removal.
• Patient improvement after cranioplasty supports a potential therapeutic role.
• Current understanding of cranioplasty's benefits is evolving.

Conclusions:

• Cranioplasty may address physiological deficits beyond cosmetic concerns.
• Further research is needed to fully elucidate the therapeutic potential of cranioplasty.
• Defining clear indications for cranioplasty is essential for optimal patient outcomes.