Outside temporalis versus under temporalis for cranioplasty: a meta-analysis of curative effects
DING Wei-long
WANG Xiang-yu
WANG Xiao-dong
Abstract：Objective To evaluate the effectiveness and the safety of surgery outside temporalis and one under temporalis for cranioplasty in the patients with skull defect.Methods A literature search of data banks including PubMed,Medline,EMbase,CNKI,Wanfang Datebase,VIP was made for the original articles about surgery outside temporalis versus one under temporalis for cranioplasty.Meta analysis of the data was performed by RevMan5.3 software.Results Eleven articles involving 726 patients,of whom,367 received cranioplasty outside temporalis and 359 received cranioplasty under temporalis were derived from the data banks.Meta-Analysis revealed that the operative duration and the intraoperative blood loss volume were significantly less,and the postoperative chew-limited rate and abnormal appearance rate were significantly higher in the patients receiving the cranioplasty outside temporalis than those in the patients receiving the cranioplasty under temporalis (P＜0.05).There were insignificant differences in the postoperative seizure rate and the intracranial hematoma rate between the two groups (P＜0.05).Conclusions The cranioplasty outside temporalis may require less operative time and cause less intraoperative blood loss,but it may more easily cause limited chew and abnormal appearance compared to the cranioplasty under temporalis in the patients with skull defects receiving craniotomy.
Keywords：Skull defectCranioplastyOutside temporalisUnder temporalisMeta analysis
Publication Date：2018-02-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 90-92,95 )