Aseptic bone-flap resorption after cranioplasty - incidence and risk factors.
OBJECTIVE:One of the common complications occurring after cranioplasty (CP) is aseptic bone-flap resorption (ABFR). Reoperation necessary because of the development of ABFR can lead to unfavorable complications during subsequent surgery using a synthetic skull implant, and also necessarily leads to...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2020-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0228009 |
| _version_ | 1818678037054488576 |
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| author | Ali Rashidi I Erol Sandalcioglu Michael Luchtmann |
| author_facet | Ali Rashidi I Erol Sandalcioglu Michael Luchtmann |
| author_sort | Ali Rashidi |
| collection | DOAJ |
| description | OBJECTIVE:One of the common complications occurring after cranioplasty (CP) is aseptic bone-flap resorption (ABFR). Reoperation necessary because of the development of ABFR can lead to unfavorable complications during subsequent surgery using a synthetic skull implant, and also necessarily leads to higher costs. The aim of this study is to identify prognostic factors that may help to predict the development of ABFR. METHODS:In this study, 303 CP surgeries performed between 2002 and 2017 were examined retrospectively to identify factors predicting the occurrence of ABFR. A number of these factors (e.g., time lapse between decompressive craniectomy (DC) and CP, bone-flap size, specific laboratory signs, and the reason for the original DC) were analyzed as possibly influencing the risk of developing ABFR. RESULTS:ABFR of an autologous bone flap that subsequently required a CP with synthetic skull implants occurred in 10 of 303 patients (3.0%). CP timing and patients' Karnofsky Performance Scores (KPS) (p = 0.008; p = 0.012) were identified as significant factors with an impact on the development of ABRF. Age did not reveal a significant value, but statistical analysis shows a clear trend. The younger the age, the more likely it was that an ABFR would develop. CONCLUSION:The risk of ABFR lessens the longer the period of time elapsed between DC and CP. Age does not reveal a significant value, but statistical analysis shows that there is a clear trend. |
| first_indexed | 2024-12-17T09:08:53Z |
| format | Article |
| id | doaj.art-a213f39a61354b49a1f9fff5819863b4 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-17T09:08:53Z |
| publishDate | 2020-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-a213f39a61354b49a1f9fff5819863b42022-12-21T21:55:20ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01151e022800910.1371/journal.pone.0228009Aseptic bone-flap resorption after cranioplasty - incidence and risk factors.Ali RashidiI Erol SandalciogluMichael LuchtmannOBJECTIVE:One of the common complications occurring after cranioplasty (CP) is aseptic bone-flap resorption (ABFR). Reoperation necessary because of the development of ABFR can lead to unfavorable complications during subsequent surgery using a synthetic skull implant, and also necessarily leads to higher costs. The aim of this study is to identify prognostic factors that may help to predict the development of ABFR. METHODS:In this study, 303 CP surgeries performed between 2002 and 2017 were examined retrospectively to identify factors predicting the occurrence of ABFR. A number of these factors (e.g., time lapse between decompressive craniectomy (DC) and CP, bone-flap size, specific laboratory signs, and the reason for the original DC) were analyzed as possibly influencing the risk of developing ABFR. RESULTS:ABFR of an autologous bone flap that subsequently required a CP with synthetic skull implants occurred in 10 of 303 patients (3.0%). CP timing and patients' Karnofsky Performance Scores (KPS) (p = 0.008; p = 0.012) were identified as significant factors with an impact on the development of ABRF. Age did not reveal a significant value, but statistical analysis shows a clear trend. The younger the age, the more likely it was that an ABFR would develop. CONCLUSION:The risk of ABFR lessens the longer the period of time elapsed between DC and CP. Age does not reveal a significant value, but statistical analysis shows that there is a clear trend.https://doi.org/10.1371/journal.pone.0228009 |
| spellingShingle | Ali Rashidi I Erol Sandalcioglu Michael Luchtmann Aseptic bone-flap resorption after cranioplasty - incidence and risk factors. PLoS ONE |
| title | Aseptic bone-flap resorption after cranioplasty - incidence and risk factors. |
| title_full | Aseptic bone-flap resorption after cranioplasty - incidence and risk factors. |
| title_fullStr | Aseptic bone-flap resorption after cranioplasty - incidence and risk factors. |
| title_full_unstemmed | Aseptic bone-flap resorption after cranioplasty - incidence and risk factors. |
| title_short | Aseptic bone-flap resorption after cranioplasty - incidence and risk factors. |
| title_sort | aseptic bone flap resorption after cranioplasty incidence and risk factors |
| url | https://doi.org/10.1371/journal.pone.0228009 |
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