Consensus statement from the international consensus meeting on post-traumatic cranioplasty

Iaccarino, C. and Kolias, A. and Adelson, P. D. and Rubiano, A. M. and Viaroli, E. and Buki, A. and Cinalli, G. and Fountas, K. and Khan, T. and Signoretti, S. and Waran, V. and Adeleye, A. O. and Amorim, R. and Bertuccio, A. and Cama, A. and Chesnut, R. M. and De Bonis, P. and Estraneo, A. and Figaji, A. and Florian, S. I. and Formisano, R. and Frassanito, P. and Gatos, C. and Germano, A. and Giussani, C. and Hossain, I. and Kasprzak, P. and La Porta, F. and Lindner, D. and Maas, A. I. R. and Paiva, W. and Palma, P. and Park, K. B. and Peretta, P. and Pompucci, A. and Posti, J. and Sengupta, S. K. and Sinha, A. and Sinha, V. and Stefini, R. and Talamonti, G. and Tasiou, A. and Zona, G. and Zucchelli, M. and Hutchinson, P. J. and Servadei, F. (2021) Consensus statement from the international consensus meeting on post-traumatic cranioplasty. Acta Neurochirurgica, 163 (2). pp. 423-440. ISSN 0001-6268, DOI https://doi.org/10.1007/s00701-020-04663-5.

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Abstract

Background Due to the lack of high-quality evidence which has hindered the development of evidence-based guidelines, there is a need to provide general guidance on cranioplasty (CP) following traumatic brain injury (TBI), as well as identify areas of ongoing uncertainty via a consensus-based approach. Methods The international consensus meeting on post-traumatic CP was held during the International Conference on Recent Advances in Neurotraumatology (ICRAN), in Naples, Italy, in June 2018. This meeting was endorsed by the Neurotrauma Committee of the World Federation of Neurosurgical Societies (WFNS), the NIHR Global Health Research Group on Neurotrauma, and several other neurotrauma organizations. Discussions and voting were organized around 5 pre-specified themes: (1) indications and technique, (2) materials, (3) timing, (4) hydrocephalus, and (5) paediatric CP. Results The participants discussed published evidence on each topic and proposed consensus statements, which were subject to ratification using anonymous real-time voting. Statements required an agreement threshold of more than 70% for inclusion in the final recommendations. Conclusions This document is the first set of practical consensus-based clinical recommendations on post-traumatic CP, focusing on timing, materials, complications, and surgical procedures. Future research directions are also presented.

Item Type: Article
Funders: National Institute for Health Research (NIHR): [16/137/105]
Uncontrolled Keywords: Cranioplasty; Rehabilitation; Hydrocephalus; Decompressive craniectomy; Neurosurgery
Subjects: R Medicine > R Medicine (General)
R Medicine > R Medicine (General) > Medical technology
Divisions: Faculty of Medicine
Depositing User: Ms Zaharah Ramly
Date Deposited: 17 Jul 2022 03:10
Last Modified: 17 Jul 2022 03:10
URI: http://eprints.um.edu.my/id/eprint/34696

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