2010
DOI: 10.4103/0028-3886.68682
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Bony reconstruction by reposition of bony chips in suboccipital craniectomy

Abstract: In suboccipital craniectomy where the bone is not repositioned, there may be a significant cosmetic defect due to lack of skull bone in the suboccipital region. It may accompanied by sensory symptoms, including pain. To prevent any cosmetic defect and sensory symptoms we repositioned the bone chips at the craniectomy site in 42 suboccipital craniectomies before the closure of the scalp. At a mean follow-up of 22 months (range: 5-44 months), two patients complained of mild discomfort in the healed wound or of o… Show more

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Cited by 5 publications
(5 citation statements)
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“…It is also easier to lift off "sandwich" as whole rather than multiple small bone chips. 6 Missori et al also experienced similar advantage where bony coverage makes re-exploration safer, with a diminished risk of dural tear and cerebellar damage. 5,8 We intentionally allowed some bleeding over gelfoam and observe finally for any CSF leak, before closing subcutaneous tissue.…”
Section: Discussionmentioning
confidence: 95%
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“…It is also easier to lift off "sandwich" as whole rather than multiple small bone chips. 6 Missori et al also experienced similar advantage where bony coverage makes re-exploration safer, with a diminished risk of dural tear and cerebellar damage. 5,8 We intentionally allowed some bleeding over gelfoam and observe finally for any CSF leak, before closing subcutaneous tissue.…”
Section: Discussionmentioning
confidence: 95%
“…There is persistent resistance in using a craniotome drill, considering the procedure dangerous; both because of the irregular contour of the inner bone surface and the tight adhesion of the dura to the skull. 6 The thin and growing calvaria in pediatric population demands surgical expertise in dural and wound reconstruction after surgery. 7 To perform craniotomy on pediatric calvaria is difficult because of irregular shape and thin dura.…”
Section: Discussionmentioning
confidence: 99%
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“…7,[25][26][27] In cases where second surgery is needed, the bone flap acts as a barrier to direct dural breach during cervical muscle dissection. 28 Dural closure has often been considered to be an important paradigm in prevention of CSF leak and pseudomeningocoele. However, despite a watertight closure and efforts in terms of time and energy, CSF leak is noted in up to 7.7% of patients.…”
Section: Discussionmentioning
confidence: 99%
“…[ 1 ] We also discussed the use of bone dust, bone debris, and small bone pieces obtained during posterior fossa craniotomy for repositioning and reconstruction. [ 2 ] The use of bone dust was cosmetically effective and osteogenic. The osteoinductive potential of the bone dust eventually resulted in new bone formation.…”
mentioning
confidence: 99%