Preservation of craniotomy bone flaps under the scalp

Surg Neurol. 1988 Oct;30(4):269-72. doi: 10.1016/0090-3019(88)90297-2.

Abstract

Bone flaps are occasionally not replaced because of brain swelling or for other reasons. Various methods for preserving the free bone flaps have been described. Reimplantation of a free bone flap after a period of preservation outside the body, however, may be complicated by infection, and facilities for proper preservation under sterile conditions may not be available. We present a new technique for preserving the bone flap under the scalp until brain swelling has resolved. The bone flap is reimplanted 12-48 days later. No serious complications related to this technique have been encountered in the 37 patients in which it was used.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Brain Edema / etiology
  • Child
  • Child, Preschool
  • Craniotomy*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Scalp / surgery
  • Surgical Flaps*