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| Choice of repair time in treatment of traumatic skull defect and its effect on prognosis of patients |
| XU Wenjun1,WANG Rong1,WANG Dan2,HUANG Yong1,RONG Xiaoguo1,HE Xiaofei1,and BAI Jie3 |
| 1. Department of Neurosurgery, Jiangsu Provincial Corps Hospital of Chinese People’s Armed Police Forces, Yangzhou 225003,China; 2.Department of Geriatrics, General Hospital of Chinese People’s Armed Police Forces, Beijing100039,China; 3. Department of Geriatrics, Changhai Hospital of Second Military Medical University, Shanghai 200433, China |
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Abstract Objective To study the prognosis of patients with traumatic skull defect at distinct time points after cranioplasty. Methods Groups of severe craniocerebral trauma patients were classified as super early phase (4-6 w), early phase (7-8 w), normal phase (≥3 m) after decompress hemicraniectomy (DCH) before undergoing cranioplasty. Retrospective analysis was made to compare the difference in postoperative complications，neural function and life quality between the groups. Results The incidence of flap hematocele and flap hydrops in super early phase group was significantly higher (25%; 31.25%) than in the other groups （3.84%, 3.84%; 3.33,3.33%） (P0.05). Conclusions Early cranioplasty can significantly reduce postoperative complications, improve life quality and neural function and can produce satisfactory clinical effect.
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Received: 01 January 2012
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2012, Vol. 23 
