Original Research Article
Year: 2019 | Month: December | Volume: 6 | Issue: 12 | Pages: 202-205
Indications and Surgical Outcome of Cranial Defects Reconstruction
Aliyu Muhammad Koko, Nasiru Jinjiri Ismail, Ali Lasseini, Bello Bala Shehu.
Department of Neurosurgery, Usmanu Danfodiyo University Teaching Hospital Sokoto, Nigeria.
Corresponding Author: Aliyu Muhammad Koko
ABSTRACT
Today, craniectomy is a common neurosurgical procedure that may be needed for traumatic skull fracture, tumour infiltration of the skull or for primary skull bone lesions. The goals of cranial reconstruction (cranioplasty) are to protect the underlying brain, restore aesthetics and psychological stability of the patients. The objective of this report was to review the indications and surgical outcome of reconstruction of cranial defects in our centre.
Subjects: Patients with cranial bone defects
Method: An audit of patients who had cranioplasty from July 2015 to June 2019 in our centre.
Results: Of the total twenty-five patients identified, 17 were males with an age range of 2 to 60 years. The indications for cranioplasty were post-traumatic skull defects-40% (10/25), post-craniectomy for intracranial and skull tumours-28% (7/25), fibrous dysplasia- 24% (6/25), post-traumatic leptomeningeal cysts-4%(1/25) and fronto-ethmoidal encephalocele-4% (1/25). Polymethylmethacrylate was used in 22 (88%) patients, titanium mesh in 2 cases (8%) and autogenous bone in 1 (4%) case. The overall postoperative outcome was good (acceptable to both Patients and the Surgeon) and the rates of complication was 12%, which all required re-operation; two patients for implant infection and exposure and one case of implant displacement secondary to recurrence of post-traumatic leptomeningeal cyst.
Conclusion: Numerous cranioplasties have been performed for repair of cranial defects as a result of trauma, tumour or other pathologies. The outcome was generally good with 12% morbidity all requiring re-operation recorded.
Key words: cranial defects reconstruction, cranioplasty, craniectomy.
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