Step Ladder Expansive Cranioplasty: A Novel Perspective in Cranial Volume Augmentation Surgery
Abstract
Background In face of a refractory raised intracranial pressure (ICP), surgeons most commonly resort to decompressive craniectomy (DC). Procedure leaves an unprotected brain underlying the craniectomy defect and Monro-Kellie doctrine: disrupted. Different variants of hinge craniotomies (HC) have been used with clinical outcomes comparable to DC as single stage alternatives. However, both DC and every variant of HC have a limit to the achievable volume augmentation and all invariably cause a compression of the cerebral cortex and its vasculature at the craniotomy site. We believe both these limitations adversely affect the outcome.
Document Details
- Document Type
- Pub Defense Publication
- Publication Date
- Jun 01, 2023
- Source ID
- 10.1055/s-0043-1768571
Entities
People
- S. Verma
- SM Sudumbrekar
- Sankar Prasad Gorthi
- Shashivadhanan Sundervadhanan
- Sudip Kumar Sengupta
- Tony J. Rappai
Organizations
- Armed Forces Medical College
- Bharati Vidyapeeth
- Department of Surgery