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Abstract

Background: Cranioplasty is required for post-craniectomy rehabilitation. Its outcomes depend on multiple factors; this study aims to evaluate the impact of size and the anatomic location of cranial defect on patient satisfaction. Methods: A prospective observational study was conducted on 70 patients who underwent cranioplasty. A defect size ranging from 12cm2 to 168cm2 was included in the study and was categorized into four anatomic groups (Frontotemporal, Trauma flap, Occipital, and Bifrontal). A 10-point Likert scale was used to assess patient satisfaction scores. A One-way ANOVA test, a Kruskal-Wallis’s test, and a Logistic Regression were performed to evaluate these defect characteristics and their effect on the cosmetic satisfaction. Results: Among the participants, 90% were satisfied with the cosmetic outcome following cranioplasty. The study found no significant association between the defect size and patient satisfaction (P-value 0.309 and Exb (B)= 1.014). Also, no significant impact of anatomical location was observed on patient satisfaction (Anova: F (3, 3) = 1.41, P-value 0.249). Conclusion: The study found no significant effect of the cranial defect sizes or their anatomical location on the overall patient cosmetic satisfaction.