A comparison of standard large craniectomy with routine craniectomy in treatment of severe traumatic brain injuries

Objective To compare the outcomes of standard large craniectomy with routine craniectomy in 223 severe traumatic brain injured patients. Methods Two hundred and twenty-three patients were randomly divided into standard large craniectomy group (n=108) and routine craniectomy group (n=115).The traumatic brain injuries were all comfirmed by CT scan. Results The patients have been followed up for 6 months.The results showed that 38 cases in the standard large craniectomy group got favorable outcome(35.19%),and 29 cases in routine craniectomy group got favorable outcome(25.22%).Conclusion The rates of delayed hematomas, second operations, incisional hernia, and CSF rhinorrhea in standard large craniectomy group were lower than those in routine craniectomy. Standard large craniectomy could be applied in the patients with severe contusion and laceration of brain and intracranial hypertension.