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Child's Nervous System
Erschienen in: Child's Nervous System 10/2017

01.10.2017 | Special Annual Issue

Problems of reconstructive cranioplasty after traumatic brain injury in children

verfasst von: Paolo Frassanito, Gianpiero Tamburrini, Luca Massimi, Simone Peraio, Massimo Caldarelli, Concezio Di Rocco

Erschienen in: Child's Nervous System | Ausgabe 10/2017

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Abstract

Cranial repair after traumatic brain injury in children is still burdened by unsolved problems and controversial issues, mainly due to the high rate of resorption of autologous bone as well as the absence of valid alternative material to replace the autologous bone. Indeed, inert biomaterials are associated to satisfactory results in the short period but bear the continuous risk of complications related to the lack of osteointegration capacity. Biomimetic materials claiming osteoconductive properties that could balance their mechanical limits seem to allow good cranial bone reconstruction. However, these results should be confirmed in the long term and in larger series. Further complicating factors that may affect cranial reconstruction after head injury should be identified in the possible associated alterations of CSF dynamics and in difficulties to manage the traumatic skin lesion and the surgical wound, which also might impact on the cranioplasty outcome. All the abovementioned considerations should be taken into account when dealing with the cranial reconstruction after decompressive craniectomy in children.
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Metadaten
Titel
Problems of reconstructive cranioplasty after traumatic brain injury in children
verfasst von
Paolo Frassanito
Gianpiero Tamburrini
Luca Massimi
Simone Peraio
Massimo Caldarelli
Concezio Di Rocco
Publikationsdatum
01.10.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
Child's Nervous System / Ausgabe 10/2017
Print ISSN: 0256-7040
Elektronische ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-017-3541-8

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