Analysis of cranioplasty procedures performed in Novosibirsk from 2016 to 2022

Background: Studies on reconstructive neurosurgical interventions are always relevant due to the persistence of cranial defects, mainly caused by traumatic brain injuries (TBI). To provide medical care to the patients with cranial defects more efficiently, it is necessary to assess a large number of...

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Main Authors: S. V. Mishinov, A. V. Kalinovskiy, J. A. Rzaev, M. N. Zarubin, Zh. A. Nazarov, A. G. Bobylev, M. A. Baranov, R. S. Kiselev, S. V. Chernov, V. V. Stupak
Format: Article
Language:English
Published: Scientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1 2023-05-01
Series:Инновационная медицина Кубани
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Online Access:https://www.innovmedkub.ru/jour/article/view/674
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author S. V. Mishinov
A. V. Kalinovskiy
J. A. Rzaev
M. N. Zarubin
Zh. A. Nazarov
A. G. Bobylev
M. A. Baranov
R. S. Kiselev
S. V. Chernov
V. V. Stupak
author_facet S. V. Mishinov
A. V. Kalinovskiy
J. A. Rzaev
M. N. Zarubin
Zh. A. Nazarov
A. G. Bobylev
M. A. Baranov
R. S. Kiselev
S. V. Chernov
V. V. Stupak
author_sort S. V. Mishinov
collection DOAJ
description Background: Studies on reconstructive neurosurgical interventions are always relevant due to the persistence of cranial defects, mainly caused by traumatic brain injuries (TBI). To provide medical care to the patients with cranial defects more efficiently, it is necessary to assess a large number of surgical interventions in studies.Objective: To analyze data on reconstructive neurosurgical interventions performed at Novosibirsk hospitals.Methods: We performed a multicenter observational retrospective non-randomized study of the total cranioplasty surgical interventions from 2016 to 2022. The study involved five neurosurgical departments in Novosibirsk hospitals. In 450 of 673 cases the inclusion criteria were met.Results: The majority of patients (n = 361; 80.2%) underwent surgical interventions in federal health facilities. Urban residents prevailed (n = 260) among the patients who met the inclusion criteria. Craniectomies were mainly indicated for the consequences of TBI (n = 319; 70.9%). Time to cranioplasty ranged from 0.1 to 320 months (mean: 23.9 ± 39.2; median: 11.6 months). There were non-clinically significant differences in terms of primary and reconstructive operations between the defects caused by TBI and other conditions. In 51.1% of cases, we found two features describing the size and complexity of the skull defect. In 19.3% of cases, patients were diagnosed with a skull defect (affected anatomical areas were specified).Conclusions: Over seven years, 450 Novosibirsk residents underwent cranioplasty in five neurosurgical Novosibirsk hospitals (mean: 64.3 surgical interventions a year). Comparing the recent results with previous studies data in terms of performed craniectomies, we found that reconstructive interventions are lacking 99.7 cases per year. To reduce the time to cranioplasty, it is necessary to make a registry of patients with skull defects.
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spelling doaj-art-dde4e6c6ee2c4a86811d936645a9929f2025-08-20T03:47:32ZengScientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1Инновационная медицина Кубани2541-98972023-05-0102637010.35401/2541-9897-2023-26-2-63-70380Analysis of cranioplasty procedures performed in Novosibirsk from 2016 to 2022S. V. Mishinov0A. V. Kalinovskiy1J. A. Rzaev2M. N. Zarubin3Zh. A. Nazarov4A. G. Bobylev5M. A. Baranov6R. S. Kiselev7S. V. Chernov8V. V. Stupak9Tsivyan Novosibirsk Research Institute of Traumatology and OrthopedicsNovosibirsk Federal Neurosurgical CenterNovosibirsk Federal Neurosurgical CenterClinical City Hospital No. 1Clinical City Hospital No. 1Novosibirsk State Regional Clinical HospitalNovosibirsk State Regional Clinical HospitalMeshalkin National Medical Research CenterMeshalkin National Medical Research CenterTsivyan Novosibirsk Research Institute of Traumatology and OrthopedicsBackground: Studies on reconstructive neurosurgical interventions are always relevant due to the persistence of cranial defects, mainly caused by traumatic brain injuries (TBI). To provide medical care to the patients with cranial defects more efficiently, it is necessary to assess a large number of surgical interventions in studies.Objective: To analyze data on reconstructive neurosurgical interventions performed at Novosibirsk hospitals.Methods: We performed a multicenter observational retrospective non-randomized study of the total cranioplasty surgical interventions from 2016 to 2022. The study involved five neurosurgical departments in Novosibirsk hospitals. In 450 of 673 cases the inclusion criteria were met.Results: The majority of patients (n = 361; 80.2%) underwent surgical interventions in federal health facilities. Urban residents prevailed (n = 260) among the patients who met the inclusion criteria. Craniectomies were mainly indicated for the consequences of TBI (n = 319; 70.9%). Time to cranioplasty ranged from 0.1 to 320 months (mean: 23.9 ± 39.2; median: 11.6 months). There were non-clinically significant differences in terms of primary and reconstructive operations between the defects caused by TBI and other conditions. In 51.1% of cases, we found two features describing the size and complexity of the skull defect. In 19.3% of cases, patients were diagnosed with a skull defect (affected anatomical areas were specified).Conclusions: Over seven years, 450 Novosibirsk residents underwent cranioplasty in five neurosurgical Novosibirsk hospitals (mean: 64.3 surgical interventions a year). Comparing the recent results with previous studies data in terms of performed craniectomies, we found that reconstructive interventions are lacking 99.7 cases per year. To reduce the time to cranioplasty, it is necessary to make a registry of patients with skull defects.https://www.innovmedkub.ru/jour/article/view/674traumatic brain injurycraniectomyskull defectcranioplastycranial implants
spellingShingle S. V. Mishinov
A. V. Kalinovskiy
J. A. Rzaev
M. N. Zarubin
Zh. A. Nazarov
A. G. Bobylev
M. A. Baranov
R. S. Kiselev
S. V. Chernov
V. V. Stupak
Analysis of cranioplasty procedures performed in Novosibirsk from 2016 to 2022
Инновационная медицина Кубани
traumatic brain injury
craniectomy
skull defect
cranioplasty
cranial implants
title Analysis of cranioplasty procedures performed in Novosibirsk from 2016 to 2022
title_full Analysis of cranioplasty procedures performed in Novosibirsk from 2016 to 2022
title_fullStr Analysis of cranioplasty procedures performed in Novosibirsk from 2016 to 2022
title_full_unstemmed Analysis of cranioplasty procedures performed in Novosibirsk from 2016 to 2022
title_short Analysis of cranioplasty procedures performed in Novosibirsk from 2016 to 2022
title_sort analysis of cranioplasty procedures performed in novosibirsk from 2016 to 2022
topic traumatic brain injury
craniectomy
skull defect
cranioplasty
cranial implants
url https://www.innovmedkub.ru/jour/article/view/674
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