[Clinical observation of one stage cranioplasty for skull defect with self-cranial bone powder].
OBJECTIVE
To investigate the clinical application of self-cranial bone powder in one stage cranioplasty.


METHODS
From October 1999 to December 2002, self-cranial bone powder and medical adhesive were used to repair the skull defect, for one stage cranioplasty, caused by operations on cranium in 128 cases of severe dangerous craniocerebral injury, acute intracranial hematome, sick skull and intracranial tumor. The bone growth was observed by CT or X-ray examination 3-24 months after replantation of cranioplasty.


RESULTS
The decompression and cranioplasty were performed simultaneously, the time prolonged 5-10 minutes than that of routine, the appearance of repaired cranial bone was normal, without concavity and convexity. After 12 months of operation, the replanted bone merged with the normal bone completely, with normal appearance. The operation successful rate was 96.1% (123/125) without any complication. Only five cases were not better in growing because of less bone powder, but without cerebral pulse and defective syndrome. All the cases did not need secondary cranioplasty.


CONCLUSIONS
The effect of cranioplasty with self- cranial bone powder effect is good in taking shape. This new method can avoid the traditional secondary cranioplasty for skull defect and complications.
Tan
Ao
A
Department of Neurosurgery, First People's Hospital of Hechi City, Yizhou, Guangxi, P. R. China 546300.
Wei
Chun-Chan
CC
Xie
Bao-Jun
BJ
D000293:Adolescent; D000328:Adult; D000368:Aged; D001861:Bone Regeneration; D016025:Bone Transplantation / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D006259:Craniocerebral Trauma / Q000601:surgery*; D003399:Craniotomy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D011208:Powders; D019651:Plastic Surgery Procedures; D012886:Skull / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D014014:Tissue Adhesives / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
D011208:Powders; D014014:Tissue Adhesives