Efficacy of early cranioplasty in patients with large standard bone flap craniotomy

Objective To explore the feasibility and clinical results of early cranioplasty in patients with large standard bone flap craniotomy.Methods Large standard bone flap craniotomy was performed in 72 cases with traumatic brain injury.42 cases were selected as observation group who were performed with early cranioplasty within 3 months,30 cases with operation beyond 3 months were chose as control group.Revising functional living index(RFLI) form was used to evaluate the quality of life of all cases in one year after injury.Results After four weeks and one year,scores of quality of life were(54.4±17.6)and(83.3±13.1) in observation group,and they were(53.9±18.4) and(71.4±16.8) in control group.There was no difference in the quality of life between two groups after four weeks(P0.05),but in observation group it was higher than that in control group after one year(P0.05).The incidence of skull defects syndrome was lower in observation group than in control group(P0.05).There was no difference in incidence rate of complications following cranioplasty between two groups(P0.05).Conclusion Early cranioplasty can prevent or reverse secondary brain injury from large skull defects of craniotomy,and ease off the mental pressure and improve the quality of life.