Cranioplasty Using Frozen Autologous Bone in Geriatric Ages |
Sun Geon Yoon1 , Moo Seong Kim1 , Seong Tae Kim1 , Sung Hwa Paeng1 , Se Young Pyo1 , Yang Won Kim2 |
Departments of Neurosurgery1, Emergency Medicine2, Inje University College of Medicine, Busan Paik Hospital, Busan, Korea |
고령 환자에서 냉동보관된 자가두개골을 이용한 두개골 성형술의 결과 |
윤선근1ㆍ김무성1ㆍ김성태1ㆍ팽성화1ㆍ표세영1ㆍ김양원2 |
인제대학교 의과대학 부산백병원 신경외과학교실1, 응급의학과교실2 |
|
Abstract |
Objective The authors assess methods and clinical results of cranioplasty with frozen autologous bone in the geriatric ages.
Methods Cranioplasty was performed using frozen autologous bone in 13 patients with skull defects between January 2000 and December
2012. Primary diseases were severe head injury in 4 patients, spontaneous intracerebral hemorrhage in 3 patients, spontaneous subarachnoid
hemorrhage in 3 patients and cerebral infarction in two patient, etc, and all of them received decompressive craniectomy. Cranioplasty were
done mean 170.5 days after primary operation. The mean age of the patients was 72.5 years (65-71 years). The mean follow-up period was 17.9
months.
Results There were no complications. During the follow-up period, autologous bone flap were firmly fixed to the skull without absorptive
evidences and delayed complications. The cosmetic results were satisfactory.
Conclusions These results suggest that autogenous skull cranioplasty using deep freezing skull flap offers several advantages in terms of
cosmetic result, operation time, cost. no complications in the geriatric ages. |
Key Words:
CranioplastyㆍSkull defectㆍAutologous boneㆍGeriatric ages |
|