Cranioplasty

Indications, Techniques, and Results

D. Stula (Autor)

Buch | Softcover

VIII, 114 Seiten

2012 | 1. Softcover reprint of the original 1st ed. 1984
Springer Wien (Verlag)
978-3-7091-8764-7 (ISBN)

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This monograph presents a comprehensive review of the clinical experience in surgical repair of cranial defects which the author has gained during a period of over ten years. Particular problems of patients undergoing cranioplasty, such as neurological impairments, EEG changes, variations of intracranial pressure, and sinking skin flap syndrome are described and discussed. The author presents convincing evidence of the importance of cranioplasty in improving the quality of life of patients with large and disfiguring cranial defects. Unfortunately, cranioplasty still ameliorates only to a minimal extent the general condition in patients suffering of major cerebral lesions. I am convinced that this volume will serve the purpose it was designed for : that it will be a most helpful introduction into the problems related to reconstructive surgery. Basel, August 1984 Otmar Gratzl Contents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 A. History of Cranioplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 B. Clinical Aspects of Cranial Bone Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 I. Origin of Cranial Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 1. Acquired Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 2. Congenital Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 3. Demographic and Other Characteristics of Patients . . . . . . . . . . . . . . . . . 9 II. Neurological and Psychic Changes Before and After Cranioplasty . . . . . . . 11 1. Classification of Neurological Deficits and of the Skin Flap Types . . . . . 13 2. The "Sinking Skin Flap Syndrome" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 3. The Influence of Cranioplasty Upon Neurological and Psychic Changes 17 III. Electroencephalographic (EEG) Changes in Patients with Cranial Defects 21 1. EEG Recordings and Casuistic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 2. Evaluation of EEG Changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 IV. Scintigraphy Findings in Patients with Cranial Bone Defects . . . . . . . . . . . . 26 1. Casuistic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 2. Results and Discussion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

A. History of Cranioplasty.- B. Clinical Aspects of Cranial Bone Defects.- I. Origin of Cranial Defects.- II. Neurological and Psychic Changes Before and After Cranioplasty.- III. Electroencephalographic (EEG) Changes in Patients with Cranial Defects.- IV. Scintigraphy Findings in Patients with Cranial Bone Defects.- V. Intracranial Pressure Changes Before and After Cranioplasty.- C. Surgical Procedures and Techniques of Cranial Repair.- I. Indications for Cranioplasty.- II. Contraindications.- III. Material Used for Cranioplasty.- IV. Conservation Procedures.- V. Operative Technique.- D. Complications of Cranioplasty.- I. With Bone Transplants.- II. With Bone Cements.- E. Cranioplasty in Children.- I. General.- II. Special Problems.- F. General Conclusion.- References.

Erscheint lt. Verlag	16.1.2012
Zusatzinfo	VIII, 114 p.
Verlagsort	Vienna
Sprache	englisch
Maße	170 x 244 mm
Gewicht	228 g
Themenwelt	Medizinische Fachgebiete ► Chirurgie ► Ästhetische und Plastische Chirurgie
Themenwelt	Medizinische Fachgebiete ► Chirurgie ► Neurochirurgie
Schlagworte	anesthesia • Bone • brain • Cartilage • complication • Infection • pathophysiology • quality of life • Reconstructive Surgery • Surgery • trauma surgery
ISBN-10	3-7091-8764-8 / 3709187648
ISBN-13	978-3-7091-8764-7 / 9783709187647
Zustand	Neuware