Cranioplasty
From WikiAnesthesia
The purpose of a cranioplasty is to surgically repair cranial defects, most commonly following decompressive craniectomy, trauma, tumor resection, or infection.
Cranioplasty
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Overview
Indications
Repair cranial defects, restore the protective barrier of the skull, improve cerebral protection, and re-establish normal cranial contour for cosmetic reasons.[1] Additionally, cranioplasty can normalize cerebrospinal fluid dynamics, potentially improving neurological function and facilitating neurorehabilitation.[2] Restoration of the skull also helps prevent complications such as the syndrome of the trephined (sinking skin flap syndrome) and may improve cognitive and motor outcomes by optimizing cerebral hemodynamics and metabolism.[3]
Surgical procedure
Preoperative management
Patient evaluation
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Operating room setup
Patient preparation and premedication
Regional and neuraxial techniques
Intraoperative management
Monitoring and access
Induction and airway management
Positioning
Maintenance and surgical considerations
Emergence
Postoperative management
Disposition
Pain management
Potential complications
Procedure variants
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References
- ↑ Alkhaibary, Ali; Alharbi, Ahoud; Alnefaie, Nada; Oqalaa Almubarak, Abdulaziz; Aloraidi, Ahmed; Khairy, Sami (2020-07). "Cranioplasty: A Comprehensive Review of the History, Materials, Surgical Aspects, and Complications". World Neurosurgery. 139: 445–452. doi:10.1016/j.wneu.2020.04.211. ISSN 1878-8769. PMID 32387405. Check date values in:
|date=(help) - ↑ Pasick, Christina Marie; Margetis, Konstantinos; Santiago, Gabriel F.; Gordon, Chad; Taub, Peter J. (2019-10). "Adult Cranioplasty". The Journal of Craniofacial Surgery. 30 (7): 2138–2143. doi:10.1097/SCS.0000000000005659. ISSN 1536-3732. PMID 31478955. Check date values in:
|date=(help) - ↑ Piazza, Matthew; Grady, M. Sean (2017-04). "Cranioplasty". Neurosurgery Clinics of North America. 28 (2): 257–265. doi:10.1016/j.nec.2016.11.008. ISSN 1558-1349. PMID 28325460. Check date values in:
|date=(help)
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