Zander, in 1940, was the first to perform a cranioplasty with. methylmetacr .ylate, and around the same time Kleinschmidt, in experiments on rabbits, .demonstrated its nonirritative character.
Brain edema often forced us not to replace the skull bone flap: Under such circumstances, mostly 3 to 4 months later, we had undertaken -delayed craniop-.. tasty.
Authors reviewed 62 cases of head injuries with skull defect repaired. by cranioplasty using methylmetacrylate resin.
The results were as follows, .-
1. The majority of head injuries were caused in ´the vehicle accident.
2. The most common sites of the skull defect were in the temporal .and frontal bone.
-3: The interval between primary decompressive craniectomy and delayed cranioplasty was from 3 to 4 months in the majority of cases.
4. Defects may fill in spontaneously to leave no visible evidence of it´s presence.
5. The syndrome of the trephined was not relieved by cranioplasty.
6. The course of the post-traumatic epilepsy was not altered by cranioplasty. i. Headache may be refered to the site of a cranial plate.
3. Cosmetic results were excellent.
9. Postoperative complications were observed in 4 cases(6.5/%).
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