KMID : 1143720170130010009
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Korean Journal of Neurotrauma 2017 Volume.13 No. 1 p.9 ~ p.14
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Review of Cranioplasty after Decompressive Craniectomy
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Cho Yong-Jun
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Abstract
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Cranioplasty is an in evitable operation conducted after decompressive craniectomy (DC). The primary goals of cranioplasty after DC are to protect the brain, achieve a natural appearance and prevent sinking skin flap syndrome (or syndrome of the trephined). Furthermore, restoring patients' functional outcome and supplementing external defects helps patients improve their self-esteem. Although early cranioplasty is preferred in recent year, optimal timing for cranioplasty remains a controversial topic. Autologous bone flaps are the most ideal substitute for cranioplasty. Complications associated with cranioplasty are also variable, however, post-surgical infection is most common. Many new materials and techniques for cranioplasty are introduced. Cost-benefit analysis of these new materials and techniques can result in different outcomes from different healthcare systems.
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KEYWORD
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Cranioplasty, Cost-Benefit analysis, Complications, Cosmetics, Outcome
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