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Decompressive craniectomy (crani-+ -ectomy) is a neurosurgical procedure in which part of the skull is removed to allow a swelling or herniating brain room to expand without being squeezed. It is performed on victims of traumatic brain injury , stroke , Chiari malformation , and other conditions associated with raised intracranial pressure .
Cranioplasty is a surgical operation on the repairing of cranial defects caused by previous injuries or operations, such as decompressive craniectomy. It is performed by filling the defective area with a range of materials, usually a bone piece from the patient or a synthetic material.
In medicine, decompression refers to the removal or repositioning of any structure compressing any other structure. [citation needed]Common examples include decompressive craniectomy (removal of part of the skull to relieve pressure on the brain), a spinal decompression to relieve pressure on nerve roots, and a nerve decompression for peripheral nerve entrapments.
After the decompression is complete, the wound is flushed clean with saline solution. The dura is closed in a watertight fashion. The skull is reconstructed and the overlying tissues are closed in multiple layers. The patient is allowed to wake up and is taken to an intensive care unit or other close observation unit. [7]
A craniotomy is a surgical operation in which a bone flap is temporarily removed from the skull to access the brain.Craniotomies are often critical operations, performed on patients who are suffering from brain lesions, such as tumors, blood clots, removal of foreign bodies such as bullets, or traumatic brain injury, and can also allow doctors to surgically implant devices, such as deep brain ...
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[24] [25] However, the more effective treatment between a decompression and neurectomy is still being researched. Between a nerve decompression and a neurectomy, the neurectomy is associated with a higher success rate which has been validated by two Cochrane reviews. The reviews found decompressions beneficial in 88% of cases and neurectomy ...
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