Bone Defects of the Scull: Appearance, Indications for Repair and Analysis of Results

Abstract

Author presents results of 4.236 consecutive cases of scull bone defects during thirty years period, starting April 1st, 1970 to April 1st, 2000. These bone defects, representing 2,8% of total operative pathology seen at Department of Neurosurgery, University Medical Center of Sarajevo, were mainly the result of following operative procedures: reduction of impressive (depressive) fracture or osteoclastic trepanation performed in order to enable interventions on inner structures of the chad. In majority of cases, defects were repaired by allotransplantation (polyacrylamide) although vast number of impressive fractures were treated by plastic surgery with bone chips of Homologous bone. In this paper author presents different plastic procedures and cites the number of treated cases.