ArticleUlusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES2025
Comparison of autologous and custom-made titanium cranioplasty following decompressive craniectomy for traumatic brain injury: A 7-year clinical experience.
Article in Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTraumatic brain injury (TBI) is one of the common reasons for decompressive craniectomy (DC). The management of DC must include cranioplasty procedures. Although both procedures may cause several complications, postoperative outcomes are of greater concern for patients. The timing of cranioplasty (CP) and the type of CP material are the main parameters evaluated retrospectively in this report in terms of their impact on postoperative complications and cosmetic results.
methodsA total of 47 patients who underwent autologous cranioplasty (n=22) or custom-made titanium cranioplasty (n=25) due to TBI between January 2017 and January 2024 in our department were retrospectively analyzed. The groups were compared in terms of demographic characteristics, complication rates, and operative parameters. Cosmetic results and one-year mortality rates were also reported. The Odom criteria were used for the assessment of cosmetic results.
resultsBaseline characteristics and overall complication rates did not differ significantly between the groups. Blood loss was significantly lower in titanium cranioplasty compared to autologous cranioplasty (126.2+-47.9 ml vs. 215.5+-35.6 ml, p<0.001). The highest complication rate was observed in cranioplasties performed 3-6 months after DC. In the early period (<3 months), autologous grafts were associated with significantly more complications than titanium (5/7 vs. 0/7, p=0.021). Cosmetic outcomes were significantly better with titanium, while timing had no effect on cosmetic results. One-year mortality rates were similar between the groups.
conclusionThe timing of cranioplasty and the type of cranioplasty material may influence postoperative outcomes in patients with TBI. Titanium plates could be a preferable option for early cranioplasty if autologous bone cannot be used for reconstruction, whereas late cranioplasty appears to be associated with fewer complications overall. Further studies are needed to support these findings.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.