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dc.contributor.authorIaccarino, Corrado
dc.contributor.authorKolias, Angelos G.
dc.contributor.authorRoumy, Louis-Georges
dc.contributor.authorFountas, Kostas
dc.contributor.authorAdeleye, Amos Olufemi
dc.date.accessioned2020-02-12T06:07:04Z
dc.date.available2020-02-12T06:07:04Z
dc.date.issued2020-01-29
dc.date.submitted2019-07-04
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/302027
dc.description.abstractCranioplasty (CP) after decompressive craniectomy (DC) for trauma is a neurosurgical procedure that aims to restore esthesis, improve cerebrospinal fluid (CSF) dynamics, and provide cerebral protection. In turn, this can facilitate neurological rehabilitation and potentially enhance neurological recovery. However, CP can be associated with significant morbidity. Multiple aspects of CP must be considered to optimize its outcomes. Those aspects range from the intricacies of the surgical dissection/reconstruction during the procedure of CP, the types of materials used for the reconstruction, as well as the timing of the CP in relation to the DC. This article is a narrative mini-review that discusses the current evidence base and suggests that no consensus has been reached about several issues, such as an agreement on the best material for use in CP, the appropriate timing of CP after DC, and the optimal management of hydrocephalus in patients who need cranial reconstruction. Moreover, the protocol-driven standards of care for traumatic brain injury (TBI) patients in high-resource settings are virtually out of reach for low-income countries, including those pertaining to CP. Thus, there is a need to design appropriate prospective studies to provide context-specific solid recommendations regarding this topic.
dc.languageen
dc.publisherFrontiers Media S.A.
dc.rightsAttribution 4.0 International (CC BY 4.0)en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subjectNeurology
dc.subjectcranioplasty
dc.subjectdecompressive craniectomy
dc.subjecttraumatic brain injury
dc.subjectcranial reconstruction
dc.subjectbone flap
dc.subjectposttraumatic hydrocephalus
dc.titleCranioplasty Following Decompressive Craniectomy
dc.typeArticle
dc.date.updated2020-02-12T06:07:04Z
prism.publicationNameFrontiers in Neurology
prism.volume10
dc.identifier.doi10.17863/CAM.49103
dcterms.dateAccepted2019-12-09
rioxxterms.versionofrecord10.3389/fneur.2019.01357
rioxxterms.versionVoR
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/
dc.identifier.eissn1664-2295


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Attribution 4.0 International (CC BY 4.0)
Except where otherwise noted, this item's licence is described as Attribution 4.0 International (CC BY 4.0)