Impact of cranioplasty on headache after acoustic neuroma removal.
We reported previously the incidence of headache after the retrosigmoid removal of an acoustic neuroma as 23% at 3 months, declining to 9% at 2 years after surgery. In an attempt to reduce the incidence and the severity of these headaches, we made one change in our surgical procedure, which was to perform a cranioplasty with methyl methacrylate. Twenty-four patients underwent the cranioplasty and were followed for at least 3 months postoperatively. These patients were matched to 24 patients who did not undergo a cranioplasty. We found a 4% incidence of headache in the cranioplasty group and a 17% incidence in the matched group. No complications were related to this change in our procedure.
Harner
S G
SG
Department of Otolaryngology, Mayo Clinic, Rochester, Minnesota, USA.
Beatty
C W
CW
Ebersold
M J
MJ
D000328:Adult; D000368:Aged; D003399:Craniotomy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006261:Headache / Q000517:prevention & control / Q000601:surgery*; D006801:Humans; D008297:Male; D008768:Methylmethacrylates; D008875:Middle Aged; D009464:Neuroma, Acoustic / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control / Q000601:surgery*; D019736:Prostheses and Implants
D008768:Methylmethacrylates