Comparative clinical impact of low-curvature and normal-curvature titanium mesh in cranioplasty: a retrospective analysis of patient outcomes
ObjectiveThis study aimed to evaluate the clinical utility of two types of cranioplasty surgery involving low-curvature and normal-curvature titanium mesh, respectively.MethodsThe clinical data were retrospectively collected from patients undergoing skull defect repair surgery between January 2021 a...
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Frontiers Media S.A.
2025-02-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1438307/full |
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| author | Shengkai Yang Weihua Chen Hongwei Teng Lei Zhang Kangkang Ji Hai Zhou |
| author_facet | Shengkai Yang Weihua Chen Hongwei Teng Lei Zhang Kangkang Ji Hai Zhou |
| author_sort | Shengkai Yang |
| collection | DOAJ |
| description | ObjectiveThis study aimed to evaluate the clinical utility of two types of cranioplasty surgery involving low-curvature and normal-curvature titanium mesh, respectively.MethodsThe clinical data were retrospectively collected from patients undergoing skull defect repair surgery between January 2021 and December 2022. The clinical outcomes associated with the two surgical approaches were compared and analyzed.ResultsA total of 67 patients who underwent skull defect repair surgery were enrolled, with 22 in the low-curvature titanium mesh group and 45 in the normal-curvature titanium mesh group. Both before and after propensity score matching (PSM) analysis, the hospital stay for the low-curvature titanium mesh group was significantly shorter than that for the normal-curvature mesh group (Before: 9.14 ± 2.64 vs. 12.51 ± 4.15, P = 0.001; After: 9.44 ± 2.83 vs. 12.13 ± 4.40, P = 0.048). The low-curvature group exhibited lower overall hospitalization costs than the normal-curvature group (Before: 23500. ± 900. vs. 24,900. ± 1,100., P < 0.001; After: 23,300. ± 800. vs. 24,100. ± 1,000., P = 0.026). Moreover, satisfaction with molding (Before: 4.23 ± 0.75 vs. 3.18 ± 0.81, P = 0.001; After: 4.13 ± 0.72 vs. 3.25 ± 0.78, P < 0.001), Karnofsky's Performance Status score (Before: 93.32 ± 1.67 vs. 90.38 ± 3.50, P = 0.001; After: 93.56 ± 1.75 vs. 91.00 ± 3.78, P < 0.001), and Quality of Life score (Before: 52.95 ± 2.13 vs. 50.18 ± 3.54, P = 0.001; After: 53.31 ± 2.12 vs. 50.38 ± 4.23, P = 0.001) were significantly higher in the low-curvature titanium mesh group than the normal-curvature titanium mesh group.ConclusionsApplying low-curvature titanium mesh for skull repair effectively shortens the hospital stay, reduces overall hospitalization costs,enhances patient satisfaction with surgical modeling, and improves the postoperative functional status and quality of life of patients undergoing neurosurgery. These advantages warrant further clinical promotion. |
| format | Article |
| id | doaj-art-a72e27912767480490d62f7941576083 |
| institution | Kabale University |
| issn | 2296-875X |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj-art-a72e27912767480490d62f79415760832025-02-07T06:49:28ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-02-011210.3389/fsurg.2025.14383071438307Comparative clinical impact of low-curvature and normal-curvature titanium mesh in cranioplasty: a retrospective analysis of patient outcomesShengkai Yang0Weihua Chen1Hongwei Teng2Lei Zhang3Kangkang Ji4Hai Zhou5Department of Neurosurgery, Binhai People’s Hospital Affiliated to Kangda College, Nanjing Medical University, Yancheng, ChinaDepartment of Neurosurgery, Binhai People’s Hospital Affiliated to Kangda College, Nanjing Medical University, Yancheng, ChinaDepartment of Neurosurgery, Binhai People’s Hospital Affiliated to Kangda College, Nanjing Medical University, Yancheng, ChinaDepartment of Neurosurgery, Binhai People’s Hospital Affiliated to Kangda College, Nanjing Medical University, Yancheng, ChinaDepartment of Central Laboratory, Binhai People’s Hospital Affiliated to Kangda College, Nanjing Medical University, Yancheng, ChinaDepartment of Neurosurgery, Binhai People’s Hospital Affiliated to Kangda College, Nanjing Medical University, Yancheng, ChinaObjectiveThis study aimed to evaluate the clinical utility of two types of cranioplasty surgery involving low-curvature and normal-curvature titanium mesh, respectively.MethodsThe clinical data were retrospectively collected from patients undergoing skull defect repair surgery between January 2021 and December 2022. The clinical outcomes associated with the two surgical approaches were compared and analyzed.ResultsA total of 67 patients who underwent skull defect repair surgery were enrolled, with 22 in the low-curvature titanium mesh group and 45 in the normal-curvature titanium mesh group. Both before and after propensity score matching (PSM) analysis, the hospital stay for the low-curvature titanium mesh group was significantly shorter than that for the normal-curvature mesh group (Before: 9.14 ± 2.64 vs. 12.51 ± 4.15, P = 0.001; After: 9.44 ± 2.83 vs. 12.13 ± 4.40, P = 0.048). The low-curvature group exhibited lower overall hospitalization costs than the normal-curvature group (Before: 23500. ± 900. vs. 24,900. ± 1,100., P < 0.001; After: 23,300. ± 800. vs. 24,100. ± 1,000., P = 0.026). Moreover, satisfaction with molding (Before: 4.23 ± 0.75 vs. 3.18 ± 0.81, P = 0.001; After: 4.13 ± 0.72 vs. 3.25 ± 0.78, P < 0.001), Karnofsky's Performance Status score (Before: 93.32 ± 1.67 vs. 90.38 ± 3.50, P = 0.001; After: 93.56 ± 1.75 vs. 91.00 ± 3.78, P < 0.001), and Quality of Life score (Before: 52.95 ± 2.13 vs. 50.18 ± 3.54, P = 0.001; After: 53.31 ± 2.12 vs. 50.38 ± 4.23, P = 0.001) were significantly higher in the low-curvature titanium mesh group than the normal-curvature titanium mesh group.ConclusionsApplying low-curvature titanium mesh for skull repair effectively shortens the hospital stay, reduces overall hospitalization costs,enhances patient satisfaction with surgical modeling, and improves the postoperative functional status and quality of life of patients undergoing neurosurgery. These advantages warrant further clinical promotion.https://www.frontiersin.org/articles/10.3389/fsurg.2025.1438307/fullhypertensive intracerebral hemorrhageslow-curvature titanium meshnormal-curvature titanium meshcranioplastyPSM |
| spellingShingle | Shengkai Yang Weihua Chen Hongwei Teng Lei Zhang Kangkang Ji Hai Zhou Comparative clinical impact of low-curvature and normal-curvature titanium mesh in cranioplasty: a retrospective analysis of patient outcomes Frontiers in Surgery hypertensive intracerebral hemorrhages low-curvature titanium mesh normal-curvature titanium mesh cranioplasty PSM |
| title | Comparative clinical impact of low-curvature and normal-curvature titanium mesh in cranioplasty: a retrospective analysis of patient outcomes |
| title_full | Comparative clinical impact of low-curvature and normal-curvature titanium mesh in cranioplasty: a retrospective analysis of patient outcomes |
| title_fullStr | Comparative clinical impact of low-curvature and normal-curvature titanium mesh in cranioplasty: a retrospective analysis of patient outcomes |
| title_full_unstemmed | Comparative clinical impact of low-curvature and normal-curvature titanium mesh in cranioplasty: a retrospective analysis of patient outcomes |
| title_short | Comparative clinical impact of low-curvature and normal-curvature titanium mesh in cranioplasty: a retrospective analysis of patient outcomes |
| title_sort | comparative clinical impact of low curvature and normal curvature titanium mesh in cranioplasty a retrospective analysis of patient outcomes |
| topic | hypertensive intracerebral hemorrhages low-curvature titanium mesh normal-curvature titanium mesh cranioplasty PSM |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1438307/full |
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