Application of temporalis restoration in skull defect repairs after standard decompressive craniectomy

Abstract

Objective To compare the clinical effects of three different methods (temporalis restoration or not) used in standard kull defect repairs after standard decompressive craniectomy.Methods Seventy-one patients with kull defects were chosen in our study; 31 of them,admitted to our hospital from January 2012 to December 2013,adopted repairs by temporalis restoration+digital titanium mesh shaping technology (group A); 21 of them,admitted to our hospital from January 2010 to December 2011,adopted repairs under temporalis+digital titanium mesh shaping technology (group B); and 19 of them,admitted to our hospital from June 2008 to December 2009,adopted repairs outside temporalis+digital titanium mesh shaping technology (group C).The operation time,blood loss,postoperative complications and subjective symptoms such as poor comfort adverse reactions in the three groups were compared.Results The mean operation time:group A was (80±10.15) min,group B (76± 9.25) min and group C (72±11.5) min,without significant differences (P＞0.05); average amount of bleeding:group A was (75±9) mL,group B (70±11) mL and group C (68±8) mL,without significant differences (P＞0.05).Adverse reactions were noted in 6 patients of group A (13 [68.42％] complained uncomfortable conditions),7 of group B (7 [33.3％] complained uncomfortable conditions) and 3 of group C (4 [12.9％] complained uncomfortable conditions),with statistically significant differences (P＜0.05).Conclusion Skull repairs bv temporalis restoration+digital titanium mesh shaping technology,being more similar to the physical structure of the patients,enjoy higher postoperative patient satisfaction,more satisfactory functional recovery,and lower rate of adverse reactions,and had better effect than the other two methods. Key words: Skull defects; Digital shaping titanium mesh repair; Temporalis muscle reset; standard Decompressive craniectomy