AANS Beyond 2021: Trauma Bundle-Cranial Reconstruction AANS2021 Dr Graciolli

Video Transcription

Video Summary

In this video, Joe Gracioli from the University of Miami discusses cranial reconstruction. He begins by comparing the treatment of a patient in 1869 who suffered a transfixating injury from a metal bar to a patient who came to their emergency department with a stab wound to the eye. The patient had severe injuries to the orbital walls and frontal lobes, and also had systemic injuries that required treatment. After stabilizing the initial condition, the patient underwent further studies to assess vascular injury, which led to the discovery of pseudoaneurysms. The patient underwent cranial reconstruction using a pericranial flap and bone graft. The video then explores the why, when, and how of cranial reconstruction. It discusses the benefits of cranial reconstruction in improving mortality and functional outcomes, as well as the optimal timing and materials used for reconstruction. The video concludes with a discussion on complications and common concerns related to cranial reconstruction.

Keywords

cranial reconstruction

University of Miami

transfixating injury

orbital walls

frontal lobes

systemic injuries