| A Retrospective Analysis of Graft Infection After Cranioplasty in the
Patients Aged over 65 Years |
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Sung-Won Jin , Dong-Jun Lim , Jong-Il Choi , Bum-Joon Kim, Sung-Kon Ha , Sang-Dae Kim |
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Department of Neurosurgery, Ansan Hospital, Korea University College of Medicine, Ansan, Korea |
| 65세 이상의 노인 환자에서 두개골 성형술 후 발생한
이식편 감염에 대한 후향적 분석 |
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진성원·임동준·최종일·김범준·하성곤·김상대 |
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고려대학교 의과대학 안산병원 신경외과학교실 |
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| Abstract |
Objective
The graft infection after cranioplasty may be critical in old age population and often lead to reoperation.
We analyzed the incidence of cranioplasty related graft infection and affecting factors in the patients aged over
65 Years, retrospectively.
Methods
We enrolled 48 patients aged over 65 years whom had undergone cranioplasty at our department between
November 2003 and December 2013. We reviewed the patient’s medical charts, operative reports, and images before
and after cranioplasty were reviewed. Reasons for craniectomy, underlying diseases, the interval between craniectomy
and cranioplasty (ICC), Glasgow coma scale (GCS) before cranioplasty, preoperative subgaleal fluid collection,
graft material, operation time were also analyzed in detail, retrospectively.
Results
Cranioplasty related graft infection occurred in 4 patients (8.3%). The graft infections after cranioplasty were
related to preoperative subgaleal fluid collection (p=0.003), ICC(p=0.043), significantly. Other factors, such as reasons
for craniectomies, underlying diseases, GCS before cranioplasty, graft material, operation time did not alter the infection
rate.
Conclusion
Our study suggests that preoperative subgaleal fluid collection and the short interval between craniectomy
and cranioplasty might increase possibility of graft infection after cranioplasty in the elderly patients. |
| Key Words:
CranioplastyㆍElderlyㆍInfection |
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