Surgical Procedures and Techniques of Cranial Repair
As early as 1943 Seiffert pointed out to the lack of informations in the published literature clearly stating the indications and reasons for repairing cranial defects. The same author principally refused cranioplasty as a surgical treatment procedure, “except for a few almost negligible exceptions”. This attitude of a then well-known author illustrates how little importance was attached to cranioplasty in the past. Even more, in 1931, in his monograph on the fate of gunshot-wounded patients, Vogler, expressing his concern about cranial defect repair, warned of cranioplasty. He argued that 15–16% of the operated non-epileptics develop epileptic fits after the surgery. Krüger  suggested that the main reason for the plastic repair of skull defects was to eliminate the deformation, especially in the fronto-basal region (see ). As a matter of fact, not long ago, cranioplasty in the area of the convexity was carried out rather rarely and primarily because of the “favourable influence on epilepsy” [3, 43, 53].
KeywordsBone Graft Bone Defect Bone Cement Skin Flap Cranial Bone
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