full-thickness craniectomy

Full-thickness craniotomy for the treatment of craniofacial bone fiber abnormal proliferation. Treatment of diseases: bone fiber dysplasia Indication Full-thickness craniotomy is suitable for the proliferation of bone fibers in the full thickness of the skull. Contraindications The external process of the skull has not been invaded. Preoperative preparation 1. X-ray film is generally taken in the head and side slices. Take a CT film if necessary. Defining the extent of the lesion and the intrusion into the cranial cavity. 2. Shaved head. 3. If autologous rib graft is used to repair the skull defect, prepare the rib area for skin preparation (on the same side). Surgical procedure Incision Take a coronal incision, turn the flap at the beginning, reveal the diseased bone, and design an osteotomy line on the normal skull outside the lesion. 2. Excision of the diseased skull flap Note that the dura tear is prevented when the bone flap is turned up. 3. Repair skull defects 1 Use a split autologous rib graft. 2 Cut another skull flap with the same shape and size as the defect area, and then fold it into two halves on the surgical instrument table, half of which is placed back into the bone extraction area, and the other half is transplanted into the defect area, and all are fixed with wire. complication 1. Epidural hematoma. 2. Wound infection. 3. Transplantation of bone fragments necrosis.

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