Cranioplasty: a review of 1030 cases of penetrating head injury

B. L. Rish, J. D. Dillon, A. M. Meirowsky, W. F. Caveness, J. P. Mohr, J. P. Kistler, G. H. Weiss

Research output: Contribution to journalArticlepeer-review

112 Scopus citations

Abstract

A total of 491 cranioplasties performed in a population of 1030 cases of penetrating head injury are reviewed. The morbidity rate was 5.5%, and the mortality rate was 0.2%. The clinical criteria of improving cosmetic defects and restoring craniocerebral protection are established, based on the location and size of the skull defect. Cranioplasty after penetrating head injury should be deferred for a minimum of 1 year to control morbidity. Complications of the original injury and surgical debridement increase the morbidity rate of cranioplasty. Post-traumatic epilepsy is not related to skull defects per se; neither it is affected by cranioplasty. Acrylic is an acceptable cranioplasty material if there is strict adherence to good surgical technique.

Original languageEnglish (US)
Pages (from-to)381-385
Number of pages5
JournalUnknown Journal
Volume4
Issue number5
DOIs
StatePublished - Jan 1 1979
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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