Comparison of Surgical Outcomes of Craniotomy and Craniectomy in Posterior Fossa Lesions

Comparison Between Surgical Outcomes of Craniotomy and Craniectomy Among Patients with Posterior Fossa Lesion

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.

Patients diagnosed with posterior fossa lesions will be randomly assigned into two groups. Group A will undergo craniotomy, where the bone flap is replaced after dural closure, while Group B will undergo craniectomy, where the bone is permanently removed. Outcomes will be assessed based on post-operative complications such as CSF leakage, pseudomeningocele formation, post-operative headache, and length of hospital stay. The study aims to provide evidence to determine the superior surgical approach in terms of patient outcomes and healthcare cost reduction.

Inclusion Criteria:

• Patients diagnosed with posterior fossa lesions
• Age range: 7-70 years
• Patients with cerebellar hematoma (traumatic or spontaneous)

Exclusion Criteria:

• Previous posterior fossa surgery
• Brainstem hematoma
• Tumors involving the overlying dura or bone