Management of postcraniotomy wound infections

Alain Polynice, Fredric Meyer, Ricky P. Clay

Research output: Contribution to journalArticle

Abstract

Background and Objectives. Wound infections following elective postcraniotomy are rare, but they do occur. It is important, therefore, to recognize the risk factors for these infections and determine the most effective treatment. Methods and Materials. A retrospective analysis was conducted of all 8,316 elective craniotomies, performed at the Mayo Clinic during an 11-year period. The incidence of postoperative wound infection was established, and the most effective approach to achieve wound healing was outlined. Results and/or Conclusions. Of the 8,316 craniotomies performed, 37 (0.45%) patients developed infection at the surgical site. Of the 37 patients, 49% had infection in the parietal area, 46% in the frontal bone, and 2% in the ocipital area; 19 (51%) patients were treated with debridement alone (without cranioplasty); 18 (49%) patients received debridement, followed by delayed cranioplasty; the average delay was 9 months. The average follow-up was 25 months; 29 (78.3%) patients healed; 5 (13.5%) patients had continued infection; 3 (8%) patients were lost in follow-up. Infections following craniotomies should be managed by radical debridement; delayed cranioplasty may follow to achieve a better contour.

Original languageEnglish (US)
Pages (from-to)36-40
Number of pages5
JournalJournal of Cranio-Maxillofacial Trauma
Volume6
Issue number2
StatePublished - 2000

Fingerprint

Wound Infection
Craniotomy
Debridement
Surgical Wound Infection
Infection
Frontal Bone
Wound Healing
Incidence

Keywords

  • Management
  • Postcraniotomy wound infections

ASJC Scopus subject areas

  • Surgery

Cite this

Polynice, A., Meyer, F., & Clay, R. P. (2000). Management of postcraniotomy wound infections. Journal of Cranio-Maxillofacial Trauma, 6(2), 36-40.

Management of postcraniotomy wound infections. / Polynice, Alain; Meyer, Fredric; Clay, Ricky P.

In: Journal of Cranio-Maxillofacial Trauma, Vol. 6, No. 2, 2000, p. 36-40.

Research output: Contribution to journalArticle

Polynice, A, Meyer, F & Clay, RP 2000, 'Management of postcraniotomy wound infections', Journal of Cranio-Maxillofacial Trauma, vol. 6, no. 2, pp. 36-40.
Polynice, Alain ; Meyer, Fredric ; Clay, Ricky P. / Management of postcraniotomy wound infections. In: Journal of Cranio-Maxillofacial Trauma. 2000 ; Vol. 6, No. 2. pp. 36-40.
@article{a820e41e76bc49559114d043ead30517,
title = "Management of postcraniotomy wound infections",
abstract = "Background and Objectives. Wound infections following elective postcraniotomy are rare, but they do occur. It is important, therefore, to recognize the risk factors for these infections and determine the most effective treatment. Methods and Materials. A retrospective analysis was conducted of all 8,316 elective craniotomies, performed at the Mayo Clinic during an 11-year period. The incidence of postoperative wound infection was established, and the most effective approach to achieve wound healing was outlined. Results and/or Conclusions. Of the 8,316 craniotomies performed, 37 (0.45{\%}) patients developed infection at the surgical site. Of the 37 patients, 49{\%} had infection in the parietal area, 46{\%} in the frontal bone, and 2{\%} in the ocipital area; 19 (51{\%}) patients were treated with debridement alone (without cranioplasty); 18 (49{\%}) patients received debridement, followed by delayed cranioplasty; the average delay was 9 months. The average follow-up was 25 months; 29 (78.3{\%}) patients healed; 5 (13.5{\%}) patients had continued infection; 3 (8{\%}) patients were lost in follow-up. Infections following craniotomies should be managed by radical debridement; delayed cranioplasty may follow to achieve a better contour.",
keywords = "Management, Postcraniotomy wound infections",
author = "Alain Polynice and Fredric Meyer and Clay, {Ricky P.}",
year = "2000",
language = "English (US)",
volume = "6",
pages = "36--40",
journal = "Journal of Cranio-Maxillofacial Trauma",
issn = "1074-3219",
publisher = "Montage Media Corp.",
number = "2",

}

TY - JOUR

T1 - Management of postcraniotomy wound infections

AU - Polynice, Alain

AU - Meyer, Fredric

AU - Clay, Ricky P.

PY - 2000

Y1 - 2000

N2 - Background and Objectives. Wound infections following elective postcraniotomy are rare, but they do occur. It is important, therefore, to recognize the risk factors for these infections and determine the most effective treatment. Methods and Materials. A retrospective analysis was conducted of all 8,316 elective craniotomies, performed at the Mayo Clinic during an 11-year period. The incidence of postoperative wound infection was established, and the most effective approach to achieve wound healing was outlined. Results and/or Conclusions. Of the 8,316 craniotomies performed, 37 (0.45%) patients developed infection at the surgical site. Of the 37 patients, 49% had infection in the parietal area, 46% in the frontal bone, and 2% in the ocipital area; 19 (51%) patients were treated with debridement alone (without cranioplasty); 18 (49%) patients received debridement, followed by delayed cranioplasty; the average delay was 9 months. The average follow-up was 25 months; 29 (78.3%) patients healed; 5 (13.5%) patients had continued infection; 3 (8%) patients were lost in follow-up. Infections following craniotomies should be managed by radical debridement; delayed cranioplasty may follow to achieve a better contour.

AB - Background and Objectives. Wound infections following elective postcraniotomy are rare, but they do occur. It is important, therefore, to recognize the risk factors for these infections and determine the most effective treatment. Methods and Materials. A retrospective analysis was conducted of all 8,316 elective craniotomies, performed at the Mayo Clinic during an 11-year period. The incidence of postoperative wound infection was established, and the most effective approach to achieve wound healing was outlined. Results and/or Conclusions. Of the 8,316 craniotomies performed, 37 (0.45%) patients developed infection at the surgical site. Of the 37 patients, 49% had infection in the parietal area, 46% in the frontal bone, and 2% in the ocipital area; 19 (51%) patients were treated with debridement alone (without cranioplasty); 18 (49%) patients received debridement, followed by delayed cranioplasty; the average delay was 9 months. The average follow-up was 25 months; 29 (78.3%) patients healed; 5 (13.5%) patients had continued infection; 3 (8%) patients were lost in follow-up. Infections following craniotomies should be managed by radical debridement; delayed cranioplasty may follow to achieve a better contour.

KW - Management

KW - Postcraniotomy wound infections

UR - http://www.scopus.com/inward/record.url?scp=0034581867&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034581867&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:0034581867

VL - 6

SP - 36

EP - 40

JO - Journal of Cranio-Maxillofacial Trauma

JF - Journal of Cranio-Maxillofacial Trauma

SN - 1074-3219

IS - 2

ER -