Single-center experience with ultra-early cranioplasty within 3 weeks after decompressive craniectomy
BackgroundThe optimal timing of cranioplasty (CP) after decompressive craniectomy (DC) is inconclusive. This article aims to investigate the effect of different timing of CP on the neurologic prognosis of patients, and to explore the feasibility and safety of ultra-early CP (within 3 weeks) followin...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2025.1506806/full |
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| author | Lei Zhao Gengshen Zhang Xiaomeng Liu Lijun Yang Kai Tang Jianliang Wu |
| author_facet | Lei Zhao Gengshen Zhang Xiaomeng Liu Lijun Yang Kai Tang Jianliang Wu |
| author_sort | Lei Zhao |
| collection | DOAJ |
| description | BackgroundThe optimal timing of cranioplasty (CP) after decompressive craniectomy (DC) is inconclusive. This article aims to investigate the effect of different timing of CP on the neurologic prognosis of patients, and to explore the feasibility and safety of ultra-early CP (within 3 weeks) following DC.MethodsThe duration time of surgery, intraoperative bleeding volume, surgery-related complications, and activities of daily living (ADL) scores were retrospectively analyzed in 23 patients underwent ultra-early CP performed within 3 weeks, and compared with 136 patients with non-ultra-early CP performed within the same time period.ResultsThe mean duration time of surgery in the ultra-early group was significantly shorter than that in the non-ultra-early group. ADL scores were significantly lower in the ultra-early group than in the non-ultra-early group both before and 1 month after CP, but there was no statistically significant difference in ADL scores between the two groups at long-term follow-up. The overall incidence of surgery-related complications was 17.39% (4/23) in the ultra-early group and 14.71% (20/136) in the non-ultra-early group, and there was no statistically significant difference in the comparison between the two groups (p = 0.739).ConclusionBoth ultra-early and non-ultra-early CP can significantly improve the neurological prognosis of patients. Ultra-early CP can significantly shorten the length of surgery and does not increase the incidence of surgery-related complications, which has a certain degree of safety and feasibility, and can be popularized under the premise of strict screening of indications, but further research is still needed. |
| format | Article |
| id | doaj-art-660fe32a253245a4891d820426f7a422 |
| institution | Kabale University |
| issn | 1664-2295 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj-art-660fe32a253245a4891d820426f7a4222025-01-20T05:23:46ZengFrontiers Media S.A.Frontiers in Neurology1664-22952025-01-011610.3389/fneur.2025.15068061506806Single-center experience with ultra-early cranioplasty within 3 weeks after decompressive craniectomyLei ZhaoGengshen ZhangXiaomeng LiuLijun YangKai TangJianliang WuBackgroundThe optimal timing of cranioplasty (CP) after decompressive craniectomy (DC) is inconclusive. This article aims to investigate the effect of different timing of CP on the neurologic prognosis of patients, and to explore the feasibility and safety of ultra-early CP (within 3 weeks) following DC.MethodsThe duration time of surgery, intraoperative bleeding volume, surgery-related complications, and activities of daily living (ADL) scores were retrospectively analyzed in 23 patients underwent ultra-early CP performed within 3 weeks, and compared with 136 patients with non-ultra-early CP performed within the same time period.ResultsThe mean duration time of surgery in the ultra-early group was significantly shorter than that in the non-ultra-early group. ADL scores were significantly lower in the ultra-early group than in the non-ultra-early group both before and 1 month after CP, but there was no statistically significant difference in ADL scores between the two groups at long-term follow-up. The overall incidence of surgery-related complications was 17.39% (4/23) in the ultra-early group and 14.71% (20/136) in the non-ultra-early group, and there was no statistically significant difference in the comparison between the two groups (p = 0.739).ConclusionBoth ultra-early and non-ultra-early CP can significantly improve the neurological prognosis of patients. Ultra-early CP can significantly shorten the length of surgery and does not increase the incidence of surgery-related complications, which has a certain degree of safety and feasibility, and can be popularized under the premise of strict screening of indications, but further research is still needed.https://www.frontiersin.org/articles/10.3389/fneur.2025.1506806/fulldecompression craniotomyultra-early cranioplastysurgery-related complicationsneurological prognosisduration time of surgery |
| spellingShingle | Lei Zhao Gengshen Zhang Xiaomeng Liu Lijun Yang Kai Tang Jianliang Wu Single-center experience with ultra-early cranioplasty within 3 weeks after decompressive craniectomy Frontiers in Neurology decompression craniotomy ultra-early cranioplasty surgery-related complications neurological prognosis duration time of surgery |
| title | Single-center experience with ultra-early cranioplasty within 3 weeks after decompressive craniectomy |
| title_full | Single-center experience with ultra-early cranioplasty within 3 weeks after decompressive craniectomy |
| title_fullStr | Single-center experience with ultra-early cranioplasty within 3 weeks after decompressive craniectomy |
| title_full_unstemmed | Single-center experience with ultra-early cranioplasty within 3 weeks after decompressive craniectomy |
| title_short | Single-center experience with ultra-early cranioplasty within 3 weeks after decompressive craniectomy |
| title_sort | single center experience with ultra early cranioplasty within 3 weeks after decompressive craniectomy |
| topic | decompression craniotomy ultra-early cranioplasty surgery-related complications neurological prognosis duration time of surgery |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2025.1506806/full |
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