INFECTION RATES IN BONE FLAP CRANIOPLASTY – AN INSTITUTIONAL EXPERIENCE
Journal Title: Advance Research Journal of Multidisciplinary Discoveries - Year 2018, Vol 26, Issue 26
Abstract
Large bone flap decompressive craniectomies have a varied application in modern day neurosurgery. They may be used to combat malignant cerebral edema secondary to trauma, hypoxia or toxic encephalopathies. After the edema subsides, the process of replacing the removed bone flap or bridging the defect of the calvarium with synthetic compounds has assumed great significance, especially over the last decade where cosmesis and quality of life have assumed great importance. Apart from just fixing the bone flap back onto the calvarial defect once the edema has subsided, a variety of synthetic materials have been created to optimize the fit, stability and cosmesis of the procedure. A major concern of cranioplasty is post-operative infection. The incidence of which is rising to almost 30% of all cases as reported by. The propensity of the bone flap to get infected is greater due to the devitalized nature of the dead bone fragment used for mechanical closure. Foreign materials such as bone cement, metal meshes or acrylic are also susceptible to carry infection if improperly handled or sterilized. These infections can lead to failure of the procedure and eventual loss of the bone flap to life threatening infections and meningitis. Hence, proper asepsis is the key to ensure a proper and favorable result. We present our experience of 3 years of cranioplasty done at a tertiary care center.
Authors and Affiliations
Dr. Sibhi Ganapathy, Dr. Rajesh Nair, , Dr. Vinod Kumar
Keywords
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