2018 AANS Annual Scientific Meeting-583. Predictors of Primary Autograft Cranioplasty Survival and Resorption after Craniectomy

583. Predictors of Primary Autograft Cranioplasty Survival and Resorption after Craniectomy

Video Transcription

Video Summary

In this video, Tommi Körnén presents the results of his studies on predictors of bone flap survival after primary autograft cranioplasty. The study was conducted using data from the Finnish Nationwide Registry of Cranioplasty, which includes outcomes of cranioplasties performed in three university hospitals between 2002 and 2015. The study cohort consisted mostly of stroke and trauma patients, with a mean age of 41.2 years and a mean follow-up time of 3.7 years. The study found that age under 45 and smoking were predictors of bone flap removal, while age under 30 was a predictor of bone flap resorption. The study concludes that quitting smoking before cranioplasty and closely monitoring younger patients are important for better outcomes. The incidence of surgical site infections and deep infections was higher in smokers, possibly due to decreased wound perfusion or microthrombi.

Asset Caption

Tommi Korhonen

Keywords

bone flap survival

primary autograft cranioplasty

predictors

smoking

wound perfusion