Paediatric cranioplasty

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  • All statements could be applied to bifrontal and fronto-temporo-parietal cranioplasties.
  • Decompressive craniectomy should be done less for paediatric patients
  • Following DC, there should be no age limit for reconstruction.
  • Recent neuroimaging is suggested prior to CP but there is uncertainty about the optimal neuroimaging modality (e.g. CT, MRI, ultrasound)
  • Materials in a post-traumatic paediatric CP
    • Autologous bone is preferred for all ages of children.
    • If autologous bone is not available, an osteoconductive material should be preferred for reconstruction.
    • < 3 years of age, the best option for osteoconductive material remains unclear.
    • > 3 years of age, and an osteoconductive material is not available, a synthetic material can be used but the best option for synthetic material remains unclear.
  • Timing of post-traumatic paediatric CP
    • Uncertain
    • Systemic, neurologic, and wound conditions must be stable prior to consider cranioplasty.