摘要：objective : To assess the efficacy of reconstruction of a crunial defects with the craniectomy bone graft (bone flap) banked in a subcutaneous pocket of the abdominal wall after emergency decompressive cran iotomy.Materials and methods : A retrospective study was performed on five patients who underwent emergency decompressive cran iectomy and bone graft placement in the abdominal wall followed by cranioplastyfor reconstruction ofthe cranial defect using the autologous calvarial graft banked in the abdominal wall.Clinical outcome after reconstruction was determined post operatively by the adequacy of the recovered craniectomy graft to achieve satisfactory contour and cosmesis,post op infection,requirement for surgical re-intervention and take up of the graft on one year clin ic-radiographic follow up.Results : All five patients had an uneventful recovery with no post operative complicattons or sungical site infection.Excellent cosmetic results tin terms of restorution of cran ial contour and symmetry was achieved in all five cases.Clin ic-radiographic follow up for one year revealed succesful take up of the autologous grfts in all five cases.Conclusion : Subcutaneous storage preserves viability of autogenous calvarial bone grufts.Cranioplasty performed with a subcutaneously preserved craniectomy graft has advantage of no donor site mobidity,excellent cosmesis,and satisfactory take up.
关键词：Cranioplasty;autogenous bone graft;subcutaneous abdominal pouch.
