NEURO SURGICAL Procedure 4 cranioplasty

Cranioplasty

Objective

In cases of defect in the skull bone:

•   Repair of cranial defect.

Position

Supine.

Anesthesia

Local or general.

Procedure

1.  Scalp is incised over the defect.

2.  The defect trimmed.

3.  Methylmethacrylate is mixed according to manufacturers directions.

4.  Surgeons then molds the material to fit the defect.

5.  Acrylic is removed from the polyethylene bag and allowed to harden.

6.  Excess material may be trimmed with rongeurs or a power saw.

7.  Holes are drilled in the periphery of the acrylic plate and the cranial defect.

8.  The plate is placed over the defect and secured by stainless steel wire passed through the holes.

9.  Wound is irrigated and closed.

Instruments

•   Craniotomy set 

•   Power saw or craniotome and cord 

•   Power drill, burrs or cord 

•   Basin set 

•   Blades (2) No. 10 

•   Sterile, plastic adhesive drape 

•   Suction tubing 

•   Asepto or bulb syringes (2) 

•   Graduate

•   Cottonoids, large 

•   Bone wax 

•   Scalp clips 

•   Cranioplasty kit 

•   Stainless steel wire 

•   Antibiotic irrigation

.Any questions be sent to drmmkapur@gmail.com

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