Skull Defect
Conditions
Keywords
Skull Defect, Epilepsy, Infections
Brief summary
The objective of this trial is to scientifically evaluate the efficacy of PEEK cranioplasty and titanium cranioplasty. The primary objective is to compare the rate of implant failure (defined as infection, implant exposure and other causes requiring removal of the implanted material) at any time within 12 months after cranioplasty. The secondary objective is to compare the complication rates and neurological function recover following cranioplasty. Complication events after cranioplasty are investigated within 6 months after surgery and neurological function is evaluated at 3, 6 and 12 months after cranioplasty.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Skull defect with a diameter greater than 3cm * No intracranial hemorrhage, intracranial hypertension or hydrocephalus (or treated) occurred more than 1 month after the previous operation * Cranioplasty is feasible according to doctor's evaluation * Patients must agree to participate in this clinical trial and the informed consent is signed by patients themselves or next of kin on behalf of the patient.
Exclusion criteria
* Manifestations of intracranial hypertension or untreated hydrocephalus * Poor healing of skin wound * Intracerebral infection or intracerebral hematoma is not cured * Patients with operational contradictions, for example, poor general condition
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Implant Failure | Within 12 months | implant failure (defined as infection, implant exposure and other causes requiring removal of the implanted material) at any time within 12 months after cranioplasty. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Detailed Economic Evaluation | Within 6 months post-operation | Total medical expense related to treatment of cranioplasty, including the costs of operations and hospitalization within 6 months post-injury. |
| Complications Rates | 3, 6, and 12 months | including seizure, hematoma, hydrocephalus, etc. |
| Glasgow coma scale (GCS) | 3, 6, and 12 months | The Glasgow coma scale (GCS) is used to assess and calculate the patient's level of consciousness. |
| Length of stay in hospital | Within 2 months post-operation | The duration of hospitalization after operation. |
| Mini-Mental State Examination score (MMSE) | 3, 6, and 12 months | — |
| Appearance Satisfaction | 6 months | Questionnaire was used to investigate patients' satisfaction with the appearance of cranioplasty. |
| Glasgow outcome scale (GOS) | 3, 6, and 12 months | — |
Countries
China