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Is cranioplasty the right decision after craniotomy? - Online Doctor Chats

Date : 12-Jun-2014
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2585 Questions
User:my father is 70 yrs old and had operated iwth craniotomy.
His right part of skull was removed on december 16
Doctor:Hello
User:hi
Doctor:I see that your Father had a Craniotomy on Dec 16th
User:yup
Doctor:How may I help you?
User:the operation was done in us
User:and hes currently with the half part of his skull
User:without*
User:we wre tyring to get it operated with outside material
Doctor:Ok, so the doctor has told you that he is doing a Cranioplasty
User:since the drs in USA didnt give us the skull that was preserved in bone bank
User:no..
User:caniplasty isnt yet done
Doctor:Yhea, now you have to use an implant
User:last week one of the dr suggested us not to get it done considering the age
User:is that the right decision?
Doctor:Not to get the bone from the USA?
Doctor:It;s very doubtful that you could get it from there.
User:once we heard from the doctors that the brain would get shrunk if the implant is not done
User:what do you suggest like
User:my father is fine and hes able to do all his work normally
Doctor:He MUST have some sort of cranioplasty done if he is going to be able to care for himself.
Doctor:If there will always be a caregiver and he is willing to wear a helment then he might be able to go wothout the surgery
User:the doctor said that he can easily survive for 15 yrs more yrs
User:and since the implant would be foreign material ..it would we little risky
Doctor:Ok, well, what you must understand is that there will always be higher risk of brain injury when there is a piece of the skull missing
User:okie
Doctor:Now, how large is the defect area in the skull. Is it a large area or small
User:large
User:almost half portion is removed
User:drs said that if implant is done
Doctor:Hmmm, well. All I can really say is that a Helmet is a good idea.
User:more screws will be nneded
User:to gt it done
User:okie
Doctor:When used properly and precautions taken, you can be without a cranioplasty
User:okie
Doctor:Yes, if an implant is put in, it would require screws.
User:will he be able to do all things normally
Doctor:And yes, any foreign implant has risk of infection
User:like
User:watching movies
User:or tarvaelling outside
User:travelling*
Doctor:It will certainly be very risky
User:okie
Doctor:You are taking a person who has no basic protection for the brain out and traveling with them
Doctor:it will ve risky
Doctor:Now, you have to judge that risk and use helments and planning to mitigate the risk
User:ok dr
User:thankyou
User:i will inform this to my family memebers
Doctor:Happy to help
User:and decide
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