By Dragoslav Stula M.D. (auth.)
ISBN-10: 3709187621
ISBN-13: 9783709187623
ISBN-10: 3709187648
ISBN-13: 9783709187647
This monograph provides a entire overview of the medical adventure in surgical fix of cranial defects which the writer has received in the course of a interval of over ten years. specific difficulties of sufferers present process cranioplasty, akin to neurological impairments, EEG alterations, adaptations of intracranial strain, and sinking dermis flap syndrome are defined and mentioned. the writer offers convincing facts of the significance of cranioplasty in enhancing the standard of lifetime of sufferers with huge and disfiguring cranial defects. regrettably, cranioplasty nonetheless ameliorates in simple terms to a minimum quantity the overall situation in sufferers pain of significant cerebral lesions. i'm confident that this quantity will serve the aim it was once designed for : that it'll be a so much valuable creation into the issues on the topic of reconstructive surgical procedure. Basel, August 1984 Otmar Gratzl Contents advent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 A. historical past of Cranioplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . three B. medical facets of Cranial Bone Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 I. starting place of Cranial Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 1. bought Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 2. Congenital Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . nine three. Demographic and different features of sufferers . . . . . . . . . . . . . . . . . nine II. Neurological and Psychic alterations earlier than and After Cranioplasty . . . . . . . eleven 1. category of Neurological Deficits and of the surface Flap varieties . . . . . thirteen 2. The "Sinking pores and skin Flap Syndrome" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . sixteen three. The impact of Cranioplasty Upon Neurological and Psychic alterations 17 III. Electroencephalographic (EEG) adjustments in sufferers with Cranial Defects 21 1. EEG Recordings and Casuistic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 2. review of EEG adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 IV. Scintigraphy Findings in sufferers with Cranial Bone Defects . . . . . . . . . . . . 26 1. Casuistic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 2. effects and dialogue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Extra info for Cranioplasty: Indications, Techniques, and Results
Sample text
A plastic closure could be undertaken subsequently, when after a week the skin shows no circulatory disturbances. This procedure has proved useful in such cases and has been repeatedly applied.
Severe open craniocerebral injury of the right fronto-basal region caused 12 years before by an explosion. Large defect of the right frontal bone with blindness represent serious social and psychic problems for the patient, in particular when a very deforming and clearly visible bone defect exists as for instance on the forehead [67, 111]. Not to forget are the difficulties in obtaining work or the continuous psychological frustration to which the patient is exposed through the pitying or inquisitive glaring of his surrounding.
29. Schematic presentation of the effect of atmospheric pressure upon uncovered cranial defect (modification of the original presentation by Guido [68]) constituents is compensated by either the same or by enlargement of another element of the cranial contents [124]. Since the brain mass can be displaced to only a limited extent, an increase or decrease in the intracranial contents is achieved by changes in the volume of CSF and, in addition, by changes in the filled volume of the blood vessels [51].