Clinical significance of standard large trauma craniectomy to treat the patients with severe bump brain injury

Objective To evaluate the efficacy of standard large trauma craniectomy to treat the patients with severe bump brain injury. Methods Thirty-two bump brain injured patients with cerebral hernia were treated with inside and outside decompression of standard large trauma craniectomy compared with 24 cases of routine temporoparietal craniectomy between Oct 2001 and Aug 2004.Results In standard large trauma craniectomy group,21 cases got good recovery(65.6%) and 5 were dead(15.6%).In routine temporoparietal craniectomy group,9 cases got good recovery(37.5%) and 10 were dead(41.7%).There was significant difference between the two groups in good recovery and mortality(P0.05).The outcome of standard large trauma craniectomy group was better than that of routine temporoparietal craniectomy group.Conclusion The inside and outside decompression of standard large trauma craniectomy significantly improves the outcome of patients with severe bump brain injury and reduces the mortality.