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DOI: 10.1055/s-0045-1810104
Operative Techniques for Safe Scalp Dissection in Cranioplasty: Addressing Surgical Challenges
Abstract
Cranioplasty, a vital procedure in reconstructive neurosurgery, has undergone significant evolution with advances in surgical technique and biomaterials. The pseudolayer dissection approach (PDA) represents an innovative technique that enhances surgical precision, reduces soft tissue trauma, and improves patient outcomes. This article reviews the principles, technical nuances, advantages, limitations, and clinical outcomes associated with PDA in cranioplasty, establishing it as a promising method for achieving optimal functional and aesthetic reconstruction.
Publikationsverlauf
Artikel online veröffentlicht:
29. August 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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References
- 1 Sanan A, Haines SJ. Repairing holes in the head: a history of cranioplasty. Neurosurgery 1997; 40 (03) 588-603
- 2 Rish BL, Dillon JD, Meirowsky AM. et al. Cranioplasty: a review of 1030 cases of penetrating head injury. Neurosurgery 1979; 4 (05) 381-385
- 3 Blake DP. The use of synthetics in cranioplasty: a clinical review. Mil Med 1994; 159 (06) 466-469
- 4 Kim SH, Kang DS, Cheong JH, Kim JH, Song KY, Kong MH. Comparison of complications following cranioplasty using a sterilized autologous bone flap or polymethyl methacrylate. Korean J Neurotrauma 2017; 13 (01) 15-23
- 5 Missori P, Currà A, Paris HS. et al. Reconstruction of skull defects in the middle ages and renaissance. Neuroscientist 2015; 21 (03) 322-328
- 6 Ashayeri K, M Jackson E, Huang J, Brem H, Gordon CR. Syndrome of the trephined: a systematic review. Neurosurgery 2016; 79 (04) 525-534
- 7 De Bonis P, Frassanito P, Mangiola A, Nucci CG, Anile C, Pompucci A. Cranial repair: how complicated is filling a “hole”?. J Neurotrauma 2012; 29 (06) 1071-1076
- 8 Gooch MR, Gin GE, Kenning TJ, German JW. Complications of cranioplasty following decompressive craniectomy: analysis of 62 cases. Neurosurg Focus 2009; 26 (06) E9
- 9 Lee L, Ker J, Quah BL, Chou N, Choy D, Yeo TT. A retrospective analysis and review of an institution's experience with the complications of cranioplasty. Br J Neurosurg 2013; 27 (05) 629-635
- 10 Yadla S, Campbell PG, Chitale R, Maltenfort MG, Jabbour P, Sharan AD. Effect of early surgery, material, and method of flap preservation on cranioplasty infections: a systematic review. Neurosurgery 2011; 68 (04) 1124-1129 , discussion 1130
- 11 Malcolm JG, Rindler RS, Chu JK. et al. Early cranioplasty is associated with greater neurological improvement: a systematic review and meta-analysis. Neurosurgery 2018; 82 (03) 278-288
- 12 Chibbaro S, Vallee F, Beccaria K. et al. The impact of early cranioplasty on cerebral blood flow and its correlation with neurological and cognitive outcome. Prospective multi-centre study on 24 patients [in French]. Rev Neurol (Paris) 2013; 169 (03) 240-248
- 13 Di Stefano C, Rinaldesi ML, Quinquinio C. et al. Neuropsychological changes and cranioplasty: a group analysis. Brain Inj 2016; 30 (02) 164-171
- 14 Corallo F, De Cola MC, Lo Buono V. et al. Early vs late cranioplasty: what is better?. Int J Neurosci 2017; 127 (08) 688-693