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Osteoplastic Decompressive Craniotomy
Mork, Jan ; Mraček, Jan (advisor) ; Vachata, Petr (referee) ; Kalita, Ondřej (referee)
Osteoplasic decompressive craniotomy Background: Decompressive craniectomy (DC) is a essential medical procedure used as a treatment of the patients with a refractive intracranial hypertension. It is accompanied by a high rate of postoperative complications. Along with a cranioplasty, these procedures might burden the patients with a significant morbidity, thus lowering the potential benefits of the surgery. Osteoplastic decompressive craniectomy (ODC) is an alternative surgical method suitable for those patients, for whom a DC might be too radical. The aim of our study was to introduce the technique of this often-ignored surgical procedure, to compare the outcome of the patients with DC and ODC, to confirm the ability of ODC to effectively lower the intracranial pressure (ICP) and to attempt to define indications for this surgical procedure. The secondary aim was to investigate possibly lower morbidity of the ODC patients, lower costs of provided care and to try to define causes of the failure of the method in patients, in whom it proved to be insufficient. Patients and methods: In the study were included 33 patients, who underwent a hemispheric ODC. This group was compared with a retrospective control group consisting of patients, who underwent a hemispheric DC. The proportion of intracranial...
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