Andrew M Frederickson1, Raymond F Sekula. 1. Department of Neurological Surgery, University of Pittsburgh Medical Center, UPMC Hamot Hospital , Erie, PA , USA.
Abstract
BACKGROUND: Following retromastoid craniectomy for microvascular decompression of the fifth or seventh cranial nerve, the preferred method and value of cranioplasty remains disputed. METHODS: In this study, we report the functional outcome of calcium phosphate cranioplasty following first-time microvascular decompression in 79 consecutive patients who underwent operations over a one-year period. RESULTS: No patient experienced a deep infection, cerebrospinal fluid leak or undue incisional pain at long-term follow-up. Additionally, all patients stated that they were satisfied with the cosmetic outcome. DISCUSSION: Although this technique is unlikely to affect the rates of infection and postoperative pain, we believe that the low rate of CSF leak provides a unique advantage over other currently used methods of closing retromastoid craniectomies.
BACKGROUND: Following retromastoid craniectomy for microvascular decompression of the fifth or seventh cranial nerve, the preferred method and value of cranioplasty remains disputed. METHODS: In this study, we report the functional outcome of calcium phosphate cranioplasty following first-time microvascular decompression in 79 consecutive patients who underwent operations over a one-year period. RESULTS: No patient experienced a deep infection, cerebrospinal fluid leak or undue incisional pain at long-term follow-up. Additionally, all patients stated that they were satisfied with the cosmetic outcome. DISCUSSION: Although this technique is unlikely to affect the rates of infection and postoperative pain, we believe that the low rate of CSF leak provides a unique advantage over other currently used methods of closing retromastoid craniectomies.
Authors: Daniel I Wolfson; Jordan A Magarik; Saniya S Godil; Hamid M Shah; Joseph S Neimat; Peter E Konrad; Dario J Englot Journal: J Neurol Surg B Skull Base Date: 2020-08-20
Authors: Alex Y Lu; Jacky T Yeung; Jason L Gerrard; Elias M Michaelides; Raymond F Sekula; Ketan R Bulsara Journal: ScientificWorldJournal Date: 2014-10-28