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Title Alternative
Study on Cranioplasty
Author
Lee, Hun Jae
Abstract
The cranioplasties were performed on 210 patients (218 cranial defects) using various materials. These patients were selected from 1500 cases admitted to the military neurosurgical center in Korea during the period of June 1950 to July 1953. All 1.500 cases were closely observed during there rehabilitation courses. The table 1 lists the different materials used and the number of patients who were treated with each type. All of the alloplastic materials had been tested, and compared with each other, in laboratory animal experiments. After discharge these patients were followed up for at least 5 years, and from these conclusions were drawn, and these are summarised below. A. Autogenous grafts………………………118. 1. Os ilium (inner and outer tables, bone chips)…………71. 2. Outer table of cranium…………………16. 3. Cartilage (costal margin)…………………13. 4. Ribs (and splited)……………………9. 5. Scapula…………………………5. 6. Sternum…………………………2. 7. Tibia…………………………1. 8. Radius and Ulna……………………1. B. Homologous (Preserved) grafts…………………12. 1. Cadava skull………………………7. 2. Tibia…………………………3. 3. Femur…………………………1. 4. Fibula…………………………1. C. Alloplastic grafts………………………88. a) Nonmetallic materials……………30. 1. Polyethylene plate……………………16. 2. Acrylic resin………………………14. b) Metallic materials………………58. 1. Silver plate………………………34. 2. Tantalum plate………………………23. 3. Stainlese steel plate……………………1. (Total: 210 cases, 218 defects) Table 1: Total Cases of Cranioplasty and Materials used to repair Cranial Defects 1. The time required for the rehabilitation of head injuries depends on the duration of post-traumatic amnesia: the longer the period of post-traumatic amnesia lasts the longer is the period required for rehabilitation or before permanent neurological defects were established. Consequently cranioplasties were performed after the lapse of at least six months, and in the majority of cases operation was postponed until one year had elapsed since the time of injury. 2. In 74% of all the cases operated upon the defect was in the frontal or frontoparietal regions and this was probably due to two reason; firstly, these sites are most easily subjected to trauma, and secondly, for cosmetic reasons alone it was desirable to repair defects as small as 2×3 cm. in these regions. Temporal and occipital region on the other hand were less commonly operated upon because these regions are protected by firm muscle layers and seldom did they show the trephine syndrome. 3. In the selection of patients the author confirmed to the indications of cranioplasty that were recommended by Grant, Norcross.
Published Date
1959-06-30
Publication Title
岡山医学会雑誌
Publication Title Alternative
Journal of Okayama Medical Association
Volume
volume71
Issue
issue7-1
Publisher
岡山医学会
Publisher Alternative
Okayama Medical Association
Start Page
3909
End Page
3922
ISSN
0030-1558
NCID
AN00032489
Content Type
Journal Article
Official Url
https://www.jstage.jst.go.jp/article/joma1947/71/7-1/71_7-1_3909/_article/-char/ja/
Related Url
http://www.okayama-u.ac.jp/user/oma/
language
日本語
Copyright Holders
岡山医学会
File Version
publisher
Refereed
True
Eprints Journal Name
joma