The aim of this study is: To compare the surgical outcomes between titanium mesh and bone cement in cranioplasty. To assess the complication rates associated with each material. To evaluate patient satisfaction and aesthetic results post-surgery
Cranioplasty is a common neurosurgical procedure performed to repair skull vault defects. The skull vault defects may result mostly after traumatic injuries as depressed skull fractures, Tumor removal (infiltrating skull bones), decompressive craniectomies, congenital anomalies or inflammatory lesions. At present, there is no gold standard material for cranioplasty with the use of autologous bone as well as other synthetic materials as bone cement and titanium mesh. Bone cement is malleable, lightweight, strong, and heat resistant, but it may cause burn injury during the process of its preparation and is used for relatively small defects. Titanium mesh good mechanical strength, a low infection rate, and an acceptable cost but may cause metal allergy, tissue erosion, implant exposure, and deformity upon application of external force. Cranioplasty not only provides Brain protection and cosmetic aspects but also, decrease incidence of epilepsy, relief to psychological drawbacks and increases social performance, restoring the dynamics of CSF.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
46
Cranioplasty using titanium mesh
Cranioplasty using bone cement
Assuit University Hospital
Asyut, Asyut Governorate, Egypt
Patient satisfaction using patient ssatisfaction grade
Patients satisfaction (cosmetic, psychological, neurologic ) measered by validate questionnaire post-opeartive and follow up using Patient satisfaction grade from Excellent to not satisfied
Time frame: through study completion, an average 1 years
Infection
follow up rate of post operative infection
Time frame: through study completion, an average 1 years
Reoperation
rate of reoperation after using each material a post-operative follow up
Time frame: through study completion, an average 1 years
CSF leak
post-operative complication of CSF leak due to changes in Dynamics of CSF flow
Time frame: through study completion, an average 1 years
complications
post-operative as hematoma formation , neurologic defict and fits.
Time frame: through study completion, an average 1 years
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