Early cranioplasty vs. late cranioplasty for the treatment of XXXX : A systematic review.

@entity1 @entity129 @entity2075 @entity1276
BACKGROUND: Cranioplasty is considered as a routine procedure in everyday neurosurgical practice for the @entity1 with @entity129 , however, there is no established consensus on optimal surgical timing. OBJECTIVE: To compare the effect of early cranioplasty (1-3 months after DC) and late cranioplasty (3-6 months after DC) on the complications and recovery of neurological function in the management of @entity1 who received decompressive craniotomy. METHODS: In this paper, the authors report a systematic review and meta-analysis of operative time, complications and neurological function outcomes on different timing of cranioplasty. Randomized or non-randomized controlled trials of early cranioplasty and late cranioplasty surgery were considered for inclusion. RESULTS: Nine published reports of eligible studies involving 1209 @entity1 meet the inclusion criteria. Compared with late cranioplasty, early cranioplasty had no significant difference in overall complications [RR=1.14, 95%CI (0.83, 1.55), p>0.05], infection rates [RR=0.87, 95%CI (0.47, 1.61), p>0.05], @entity2075 [RR=1.09, 95%CI (0.53, 2.25), p>0.05]; subdural fluid collection [RR=0.47, 95%CI (0.15, 1.41), p>0.05]. However, early CP significantly reduced the duration of cranioplasty [mean difference=-13.46, 95%CI (-21.26, 5.67), p<0.05]. The postoperative @entity1276 rates were significant higher in the early cranioplasty group [RR=2.67, 95%CI (1.24, 5.73), p<0.05]. CONCLUSION: Early CP can only reduce the duration of operation, but cannot reduce the complications of @entity1 and even increase the risk of @entity1276 . More evidence from advanced multi-center studies is needed to provide illumination for the timing selection of CP surgery.
