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Aseptische Osteonekrose einer Kranioplastie nach dekompressiver Kraniektomie

Smoll, Nicolas R.
Published in Praxis. 2013, vol. 102, no. 13, p. 809-12
Abstract This case report discusses a case of aseptic osteonecrosis in a cranioplasty bone flap after decompressive craniectomy, which is a known, but rare complication after autologous cranioplasty. We suggest that the pathophysiology of cranial bone flap necrosis may have a similar pathophysiology to free flap necrosis/failure. The key suggested problem causing the osteonecrosis is vessel thrombosis within the smaller vessels of the bone flap due to the prothrombotic effects of the factors released during drilling of the bone flap. Suspicious local findings like wound dehiscence or fluid leakage should lead to a head computed tomography in order to discuss a prophylactic artificial second cranioplasty if necessary.
Keywords AdolescentBone Transplantation/pathologyCombined Modality TherapyDecompressive Craniectomy/methodsEmbolization, TherapeuticHumansIntracranial Arteriovenous Malformations/surgeryIntracranial Hypertension/surgeryKetonesMagnetic Resonance ImagingMaleOsteonecrosis/diagnosis/pathology/surgeryPolyethylene GlycolsPostoperative Complications/diagnosis/pathology/surgeryProsthesis ImplantationReoperationSkull/pathology/surgery
PMID: 23773942
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Research group Groupe Schaller Karl Lothard (neurochirurgie) (851)
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SMOLL, Nicolas R. et al. Aseptische Osteonekrose einer Kranioplastie nach dekompressiver Kraniektomie. In: Praxis, 2013, vol. 102, n° 13, p. 809-12. doi: 10.1024/1661-8157/a001341 https://archive-ouverte.unige.ch/unige:44322

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Deposited on : 2015-01-02

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