Analysis for post-operative complications of cranioplasty with different kinds of material
XIE Fei
HAO Shu-yu
LI Huan
LIU Bai-yun
Abstract：Objective To investigate the correlation between the postoperative complications of cranioplasty and repair materials,repair time and surgical methods.Methods The clinical data of 351 patients,including 275 males and 76 females with an average age of 37(2-71) years,who underwent cranioplasty in Beijing Tiantan Hospital of Capital Medical University from Jan.1997 to Dec.2014,were retrospectively analyzed.The repair materials included titanium mesh (n=281),autologous bone (n=42) and silica gel (n=28).Statistical analysis of the correlation between the complications of cranioplasty and repair materials and other related factors was carried out.Results The overall complication rate of this group was 8％ (29/351),including infection in 15 cases,scalp effusion in 4 cases,intracranial hematoma in 2 cases,repair material loosening in 5 cases,and epilepsy in 3 cases.Statistical analysis of related factors showed that the incidence of overall complications was related to intraoperative placement of scalp drainage tube (P=0.02) and repair materials (P=0.002).Multi-factor Logistic regression analysis showed that the regression coefficient was-1.273,indicating that the drainage tube was negatively correlative.The incidence of postoperative complications was significantly higher in silica gel group (25％) than in titanium mesh group (6％) and autologous bone group (9％).There was no significant difference in the age,gender,timing of repair,cause of defect,or side of repair.Conclusion The use of appropriate repair materials may reduce the incidence of postoperative complications,and the placement of scalp drainage tube can reduce the incidence of complications.
Keywords：traumaskullcranioplastycomplicationmaterial
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 254-257 )