title: Effect of Reflection of Temporalis Muscle During Cranioplasty With Titanium Mesh After Standard Trauma Craniectomy.
abstract: Cranioplasty (CP) with titanium mesh after standard trauma craniectomy (STC) has been proven to be a favorable technology. According to reflection of temporalis muscle or not, the CP was divided into 2 operation ways. Effect of reflection of temporalis muscle has not been systematically researched. Thirty-nine patients were enrolled to assess the effect of reflection of temporalis muscle during CP after STC. Cranial index of symmetry was adopted to evaluate the aesthetic results, transcranial Doppler was used to assess change of cerebral blood flow (CBF), functional independence measurements were performed to monitor the improvement of neuronal function, and complications associated with CP were also recorded. The results displayed that reflection of temporalis muscle or not had no effect on the anesthetic results. Both operation ways could improve CBF and neuronal function. Cranioplasty with reflection of temporalis muscle could improve CBF and neuronal function more significantly. Furthermore, reflection of temporalis muscle would not increase complications associated with CP. Reflection of temporalis muscle during CP with titanium mesh after STC proves to be an effective and safe operation way.
authors.affiliation: Department of Neurosurgery, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
authors.forename: Yichao
authors.initials: Y
authors.lastname: Jin
authors.forename: Jiyao
authors.initials: J
authors.lastname: Jiang
authors.forename: Xiaohua
authors.initials: X
authors.lastname: Zhang
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000368:Aged; D001672:Biocompatible Materials / Q000737:chemistry*; D001929:Brain Edema / Q000601:surgery; D001930:Brain Injuries / Q000601:surgery; D002560:Cerebrovascular Circulation / Q000502:physiology; D017076:Computer-Aided Design; D003399:Craniotomy / Q000379:methods*; D004954:Esthetics; D005260:Female; D006801:Humans; D019586:Intracranial Hypertension / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000379:methods; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods*; D012886:Skull / Q000473:pathology; D013526:Surgical Mesh; D013703:Temporal Muscle / Q000601:surgery*; D014025:Titanium / Q000737:chemistry*; D017585:Ultrasonography, Doppler, Transcranial / Q000379:methods; D055815:Young Adult
chemical_list: D001672:Biocompatible Materials; D014025:Titanium