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Comparison of Surgical Outcomes of Craniotomy and Craniectomy in Posterior Fossa Lesions
Sponsor: University of Health Sciences Lahore
Summary
The purpose of this randomized controlled trial is to compare the surgical outcomes of craniotomy and craniectomy among patients with posterior fossa lesions. The study aims to determine differences in post-operative complications, hospital stay duration, and patient recovery between the two surgical techniques.
Official title: Comparison Between Surgical Outcomes of Craniotomy and Craniectomy Among Patients with Posterior Fossa Lesion
Key Details
Gender
All
Age Range
7 Years - 70 Years
Study Type
INTERVENTIONAL
Enrollment
80
Start Date
2025-03-04
Completion Date
2026-03
Last Updated
2025-02-18
Healthy Volunteers
No
Conditions
Interventions
Craniotomy
Intervention: Bone flap replaced after dural closure Additional Information: This procedure involves creating a single free bone flap using high-speed drills. The bone is repositioned and secured using mini plates or sutures after the surgical intervention is completed. Post-operative monitoring will include assessment for CSF leakage, wound healing, and neurological recovery.
Craniectomy
Intervention: Bone permanently removed Additional Information: In this approach, the bone is removed in pieces using rongeurs, leaving an open dural surface without replacement of the bone. The dura is closed with sutures, and dural augmentation may be performed as needed. Post-operative assessment will focus on complications such as pseudomeningocele, CSF leakage, and extended hospital stays.