CHANGES IN CALVARIAL BONE PLACED IN ABDOMEN AFTER DECOMPRESSIVE CRANIECTOMY: A PROSPECTIVE CLINICAL STUDY

DR PATEL B MAULIK; MS; DR SHANKAR KB; DR SIRAJ FOUZIA; DR VIVEK YADAV

Volume : VII, Issue : XII, December - 2018

CHANGES IN CALVARIAL BONE PLACED IN ABDOMEN AFTER DECOMPRESSIVE CRANIECTOMY: A PROSPECTIVE CLINICAL STUDY

Dr Patel B Maulik, Ms, Dr Shankar Kb, Dr Siraj Fouzia, Dr Vivek Yadav

Abstract :

Background: Cranioplasty is done after therapeutic decompressive cranieotomy (DC) to protect ain and for cosmetic purpose. The autologous bone is kept in the subcutaneous plane in anterior abdominal wall.

Methods: It was a Prospective study with a total 50 patients were included after inclusion and exclusion criteria were met between 2016 to 2018. Gross and microscopic changes in the bone were noted.

Results: Men constituted 78% of the study group. There is statistically significant reduction in length (p=0.025), width (p=0.021), thickness (p=0.012) and weight (p=0.04) measured in patients who underwent cranioplasty 3 months after initial surgery compared to patients who underwent cranioplasty on or < 3 months of initial surgery. Only 6% of patients showed necrotic changes.

Conclusion: There is significant reduction in length, width, thickness and weight of bone measured in patients who underwent cranioplasty 3 months after initial surgery compared to less then 3 months of initial DC.