Comparison of the early postoperative complications of cranioplasty using outside/inside temporal muscle method

doi:10.3877/cma.j.issn.2095-9141.2015.04.004

Abstract

Abstract:

Objective

To comparison the early postoperative complications of outside/inder temporalis method in frontal-temporal skull defect of cranioplasty,and to explore the advantages and disadvantages of the two methods.

Methods

Ninety-five with unilateral cranioplasty in our department from 2011 to 2014 were retrospectively analyzed.Sixty cases underwent outside temporal and thirty-five underwent insider temporal muscle cranioplasty.The early postoperative complications(postoperative subcutaneous hydrops，postoperative hemorrhage，infection and epilepsy)and the subcutaneous drainage was compared.

Results

The two operation methods had no obvious difference in the postoperative subcutaneous hydrops，postoperative hemorrhage，infection，epilepsy and the subcutaneous drainage(P<0.05).

Conclusion

Two surgical methods have no obvious difference in the early postoperative complications,however,outside temporal muscle method is more suitablefor the patientswith deep introcession beforeoperation.

Key words: Skull defect, Cranioplasty, Temporal muscle

Gengsi Jiang, Jungang Xiu, Zhenning Wang, Guizeng Chen. Comparison of the early postoperative complications of cranioplasty using outside/inside temporal muscle method[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2015, 01(04): 204-207.

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https://zhsjcswkdzzz.cma-cmc.com.cn/EN/Y2015/V01/I04/204

Figures/Tables 2

References 12

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组别	例数	年龄(岁)	缺损面积(cm²)	缺损时间(月)	凹陷深度(cm)
颞肌外组	60	38.8±12.3	85.1±22.6	5.0±1.9	0.73±0.35
颞肌下组	35	39.4±13.6	84.4±21.0	5.3±2.2	0.66±0.37
t值		-0.22	0.15	-0.70	0.92
P值		＞0.05	＞0.05	＞0.05	＞0.05

组别	例数	年龄(岁)	缺损面积(cm²)	缺损时间(月)	凹陷深度(cm)
颞肌外组	60	38.8±12.3	85.1±22.6	5.0±1.9	0.73±0.35
颞肌下组	35	39.4±13.6	84.4±21.0	5.3±2.2	0.66±0.37
t值		-0.22	0.15	-0.70	0.92
P值		＞0.05	＞0.05	＞0.05	＞0.05

组别	例数	积液(例)	引流量(ml)	出血(例)	感染(例)	癫痫(例)
颞肌外组	60	8	173.0±102.6	7	0	1
颞肌下组	35	6	203.6±123.3	3	2	1
t/χ²值		0.04	-1.30	0.02	1.28	0.15
P值		＞0.05	＞0.05	＞0.05	＞0.05	＞0.05

组别	例数	积液(例)	引流量(ml)	出血(例)	感染(例)	癫痫(例)
颞肌外组	60	8	173.0±102.6	7	0	1
颞肌下组	35	6	203.6±123.3	3	2	1
t/χ²值		0.04	-1.30	0.02	1.28	0.15
P值		＞0.05	＞0.05	＞0.05	＞0.05	＞0.05

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