Analysis of influencing factors for subcutaneous effusion after cranioplasty

Objective To explore the influencing factors for subcutaneous effusion (SCE) after cranioplasty. Methods Total of 111 patients with skull defect who underwent cranioplasty from January 2019 to June 2024 in Beijing Rehabilitation Hospital, Capital Medical University were analyzed retrospectively. All...

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Main Authors: LIU Yang, ZHANG Wen⁃yi, WANG Yun⁃peng, ZHAO Kun, WANG Jian, LIU Ai⁃xian
Format: Article
Language:English
Published: Tianjin Huanhu Hospital 2025-04-01
Series:Chinese Journal of Contemporary Neurology and Neurosurgery
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Online Access:http://www.cjcnn.org/index.php/cjcnn/article/view/3020
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author LIU Yang
ZHANG Wen⁃yi
WANG Yun⁃peng
ZHAO Kun
WANG Jian
LIU Ai⁃xian
author_facet LIU Yang
ZHANG Wen⁃yi
WANG Yun⁃peng
ZHAO Kun
WANG Jian
LIU Ai⁃xian
author_sort LIU Yang
collection DOAJ
description Objective To explore the influencing factors for subcutaneous effusion (SCE) after cranioplasty. Methods Total of 111 patients with skull defect who underwent cranioplasty from January 2019 to June 2024 in Beijing Rehabilitation Hospital, Capital Medical University were analyzed retrospectively. All the patients were devided into SCE group (n = 29) and non⁃SCE group (n = 82) according to whether they had SCE after cranioplasty. Univariate and multivariate Logistic regression analyses were applied to explore the influencing factors for SCE after cranioplasty. Results Among 111 patients, 29 had SCE after cranioplasty, with an incidence of 26.13%. All the 29 patients recovered and there was no bleeding, scalp damage, implant exposure, poor wound healing and intracranial infection after the treatment. Logistic regression analysis showed that age increase (OR = 1.075, 95%CI: 1.027-1.126; P = 0.002), polyether ⁃ ether ⁃ ketone (PEEK) repair material (OR = 7.673, 95%CI: 2.227-26.435; P = 0.001) and 24 h drainage increase before drain removal (OR = 1.026, 95%CI: 1.008-1.044; P = 0.004) were risk factors for SCE after cranioplasty. Conclusions Age increase, PEEK repair material and 24 h drainage increase before drain removal were risk factors for SCE after cranioplasty. Timely and effective interventions should be taken according to individual condition.
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spelling doaj-art-32844a34857d453eb3eb9e81d979eb8a2025-08-20T03:54:01ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312025-04-0125434534910.3969/j.issn.1672⁃6731.2025.04.012Analysis of influencing factors for subcutaneous effusion after cranioplastyLIU Yang0ZHANG Wen⁃yi1WANG Yun⁃peng2ZHAO Kun3WANG Jian4LIU Ai⁃xian5Neurological Rehabilitation Center, Beijing Rehabilitation Hospital, Capital Medical University, Beijing 100144, ChinaNeurological Rehabilitation Center, Beijing Rehabilitation Hospital, Capital Medical University, Beijing 100144, ChinaNeurological Rehabilitation Center, Beijing Rehabilitation Hospital, Capital Medical University, Beijing 100144, ChinaNeurological Rehabilitation Center, Beijing Rehabilitation Hospital, Capital Medical University, Beijing 100144, ChinaNeurological Rehabilitation Center, Beijing Rehabilitation Hospital, Capital Medical University, Beijing 100144, ChinaNeurological Rehabilitation Center, Beijing Rehabilitation Hospital, Capital Medical University, Beijing 100144, ChinaObjective To explore the influencing factors for subcutaneous effusion (SCE) after cranioplasty. Methods Total of 111 patients with skull defect who underwent cranioplasty from January 2019 to June 2024 in Beijing Rehabilitation Hospital, Capital Medical University were analyzed retrospectively. All the patients were devided into SCE group (n = 29) and non⁃SCE group (n = 82) according to whether they had SCE after cranioplasty. Univariate and multivariate Logistic regression analyses were applied to explore the influencing factors for SCE after cranioplasty. Results Among 111 patients, 29 had SCE after cranioplasty, with an incidence of 26.13%. All the 29 patients recovered and there was no bleeding, scalp damage, implant exposure, poor wound healing and intracranial infection after the treatment. Logistic regression analysis showed that age increase (OR = 1.075, 95%CI: 1.027-1.126; P = 0.002), polyether ⁃ ether ⁃ ketone (PEEK) repair material (OR = 7.673, 95%CI: 2.227-26.435; P = 0.001) and 24 h drainage increase before drain removal (OR = 1.026, 95%CI: 1.008-1.044; P = 0.004) were risk factors for SCE after cranioplasty. Conclusions Age increase, PEEK repair material and 24 h drainage increase before drain removal were risk factors for SCE after cranioplasty. Timely and effective interventions should be taken according to individual condition.http://www.cjcnn.org/index.php/cjcnn/article/view/3020skulltitaniumbiocompatible materialscraniotomypostoperative complicationsrisk factorslogistic models
spellingShingle LIU Yang
ZHANG Wen⁃yi
WANG Yun⁃peng
ZHAO Kun
WANG Jian
LIU Ai⁃xian
Analysis of influencing factors for subcutaneous effusion after cranioplasty
Chinese Journal of Contemporary Neurology and Neurosurgery
skull
titanium
biocompatible materials
craniotomy
postoperative complications
risk factors
logistic models
title Analysis of influencing factors for subcutaneous effusion after cranioplasty
title_full Analysis of influencing factors for subcutaneous effusion after cranioplasty
title_fullStr Analysis of influencing factors for subcutaneous effusion after cranioplasty
title_full_unstemmed Analysis of influencing factors for subcutaneous effusion after cranioplasty
title_short Analysis of influencing factors for subcutaneous effusion after cranioplasty
title_sort analysis of influencing factors for subcutaneous effusion after cranioplasty
topic skull
titanium
biocompatible materials
craniotomy
postoperative complications
risk factors
logistic models
url http://www.cjcnn.org/index.php/cjcnn/article/view/3020
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AT wangyunpeng analysisofinfluencingfactorsforsubcutaneouseffusionaftercranioplasty
AT zhaokun analysisofinfluencingfactorsforsubcutaneouseffusionaftercranioplasty
AT wangjian analysisofinfluencingfactorsforsubcutaneouseffusionaftercranioplasty
AT liuaixian analysisofinfluencingfactorsforsubcutaneouseffusionaftercranioplasty