resorption is the destruction of the autologous bone that is used to fix the skull defect.
Use the milling cutter along the hole's orbital roof toward the back to take a bone flap
about 2.0 cm x 2.5 cm, and try to avoid opening the frontal sinus.
Minipterional craniotomy is evidenced as an effective alternative of classic pterional craniotomy in some anterior circulation aneurysms surgeries.[sup], The advantages of minipterional craniotomy include shorter skin incision, less soft tissue trauma, smaller bone flap
, and good cosmetic outcome.
This problem was tackled with universal sterile precautions and saline irrigation, with and without topical antibiotics to harvested bone flaps
as per evidence.23 Absorbable plates have been used to avoid hardware exposure through scalp and minimise the wound nuisances.24 We did not have any case of post-op haematoma or contusions but one patient had generalised seizures in post-operative period and managed with anti-epileptics.
was placed under strict asepsis in the abdominal subcutaneous pouch.
This study included patients operated on after failure of medical treatment with ICP monitoring, as well as patients operated on immediately because of a surgical posttraumatic lesion, in whom ICP monitoring was not performed before surgery and in whom the bone flap
was not repositioned due to the presence of cerebral oedema or major intraoperative brain swelling.
These include the lateral arm flap, scapula/parascapular flap, radial forearm flap, anterolateral thigh flap, free fibula flap, latissimus dorsi flap, rectus abdominis flap, gracilis flap, free filet flap, the medial femoral condyle periosteal bone flap
, or various perforator flaps [41, 42].
During a craniotomy, a bone flap
was removed from Simmons' skull to reduce
Dura was closed without any difficulty and the bone flap
was replaced while closure of the wound.
A new composite flap model in the rat: combined cremaster muscle and pubic bone flap
, Ann Plast Surg, 60(6): 692-7.
The sports enthusiast spent 10 weeks in a Dubai hospital, where he underwent surgery to remove a bone flap
from the top of his head in order to allow his brain room to swell.
A bone flap
is removed from the skull during this type of surgery."
Anyone who has seen a skull bone flap
being turned or the sternum being divided at a median sternotomy will be well aware of the considerable bleeding that can occur in these procedures from the highly vascular red bone marrow inside these structures.
Because the patient's ICP remained high, he underwent repeat evacuation of the residual epidural hematoma and marsupialization of the left frontotemporal bone flap
. The patient had normal ICP and reactive pupils at the end of the procedure.
A rectangular middle fossa bone flap
was elevated, and a corner of the flap was used to repair the bone defect on the middle fossa floor.