Problems of reconstructive cranioplasty after traumatic brain injury in children

Gianpiero Tamburrini, Paolo Frassanito, Luca Massimi, Simone Peraio, Massimo Caldarelli, Concezio Di Rocco

Risultato della ricerca: Contributo in rivistaArticolo in rivista

22 Citazioni (Scopus)

Abstract

Cranial repair after traumatic brain injury in children is still burdened by unsolved problems and controversial issues, mainly due to the high rate of resorption of autologous bone as well as the absence of valid alternative material to replace the autologous bone. Indeed, inert biomaterials are associated to satisfactory results in the short period but bear the continuous risk of complications related to the lack of osteointegration capacity. Biomimetic materials claiming osteoconductive properties that could balance their mechanical limits seem to allow good cranial bone reconstruction. However, these results should be confirmed in the long term and in larger series. Further complicating factors that may affect cranial reconstruction after head injury should be identified in the possible associated alterations of CSF dynamics and in difficulties to manage the traumatic skin lesion and the surgical wound, which also might impact on the cranioplasty outcome. All the abovementioned considerations should be taken into account when dealing with the cranial reconstruction after decompressive craniectomy in children.
Lingua originaleEnglish
pagine (da-a)1759-1768
Numero di pagine10
RivistaCHILDS NERVOUS SYSTEM
Volume33
DOI
Stato di pubblicazionePubblicato - 2017

Keywords

  • Alloplastic material
  • Autologous bone
  • Biomaterial
  • Bone Transplantation
  • Brain Injuries, Traumatic
  • Brain injury
  • Child
  • Child, Preschool
  • Decompressive Craniectomy
  • Decompressive craniectomy
  • Humans
  • Hydroxyapatite
  • Magnetic Resonance Imaging
  • Neurology (clinical)
  • Pediatrics, Perinatology and Child Health
  • Prostheses and Implants
  • Reconstructive Surgical Procedures
  • Reconstructive cranioplasty
  • Time Factors

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