A Local Protocol for Cranioplasty (Case study)

Abstract In this case-series we discuss about 136 cases of skull bony defect to different causes traumatic and non-traumatic (from Jan./2015- Dec./2024) done in local hospital (Sohar Hospital). Inclusion criteria were: cause of defect, size of defect, material closing the defect Patient population as 73 M and 63 F (age from 2-72 years) In this report we evaluate the therapeutic results retrospectively. The treatment was with autograft in 102 patients where the bone embedded in the abdominal wall (Temporary placement in a subcutaneous pocket (SP).) and the 34 patients were treated artificial bone graft as methacrylate with or without mesh . Fortunately, we did the traumatic clean and non-traumatic within 2-4 weeks while the traumatic non clean wounds were done after 6-8 weeks after first surgery. Only 4 cases of post traumatic cranioplasty developed infection so removal of the bone flap done and replaced by artificial bone after 12 weeks, That of non-traumatic cases are mostly stroke patients with 2 cases registered of infection so also removal of the bone flap done and replaced by artificial bone after 12 weeks, Keywords: decompressive craniectomy, Cranioplasty, autograft, artificial graft.