OBJECTIVE: To evaluate the outcome of early replacement of autologous bone flap for decompressive hemicraniectomy in severe @entity131 @entity1 . METHODS: The observational cross-sectional prospective study was conducted at the Neurosurgical Unit of the Combined Military Hospital, Rawalpindi, Pakistan, from July 2011, to June 2014, and comprised @entity1 who underwent cranioplasty after decompressive hemicraniectomy for @entity130 . @entity1 over 20 years of age and of either gender were included. Cranioplasty was timed in all these @entity1 using native bone flap preserved in the abdominal wall after decompressive craniectomy. Parameters recorded were mortality, wound @entity281 , wound @entity6783 , @entity2527 , @entity85 and neurological outcome. SPSS 17 was used for data analysis. RESULTS: Of the 30 @entity1 in the study, 28(93.3%) were males. The overall mean age was age 32.03  8.01 years (range: 20-48 years). Mean cranioplasty time was 66.2  11.50 days (range: 44-89 days). @entity281 necessitating bone flap removal was found in 1(3.33%) @entity1 , while minor scalp wound @entity281 , treated with antibiotics and dressings were found in 2(6.66%). @entity85 was seen in 3(10%). Improved neurological outcome was noted in 21(70 %) @entity1 ; 6(20%) survived with a moderate to severe disability and 3(10%) remained in a vegetative state. No mortality was found after the procedure. CONCLUSIONS: Early autologous bone replacement for decompressive hemicraniectomy in severe @entity131 @entity1 offered cost-effective, acceptable surgical and improve dneurological outcome.

Early autologous cranioplasty after decompressive hemi-craniectomy for severe XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity131 :: ('MESH:D001930', 'Disease') :: ['traumatic brain injury'] @entity281 :: ('MESH:D007239', 'Disease') :: ['Major infection', 'infections', 'infection, subdural collection'] @entity6783 :: ('MESH:D013529', 'Disease') :: ['dehiscence'] @entity2527 :: ('MESH:D001862', 'Disease') :: ['ventriculomegaly, bone resorption'] @entity85 :: ('MESH:D009140', 'Disease') :: ['cosmetic deformity', 'Cosmetic18 deformity'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity131 :: (MESH:D001930,Disease) :: ['traumatic brain injury']
