Mini titanium plates; hearkening the end of nonrigid cranial bone flap fixation

Muhammad Junaid, Syed Sarmad Bukhari, Mobasher Ahmad Saeed, Mamoon Ur Rashid

Abstract


Background and Objective: Craniotomy bone flaps should be replaced for both cosmetic and protective purposes. Different methods are available commercially. The aim of this study was to assess outcome of bone flap fixation using mini titanium plates and screws.

Methods: Between March 2011 and March 2014, 71 patients underwent cranial bone flap fixation with mini titanium plates and screws after craniotomy and excision of supratentorial lesions at Combined Military Hospital, Peshawar. There were 42 males and 30 females with a mean age of 40.07. All patients had supratentorial lesions. Intracranial lesion size ranged from 3 cm by 2 cm to 7 cm by 5 cm. The changes of local incision and general condition were observed.

Results: Subcutaneous effusion occurred in two patients. One patient developed a mild postoperative wound infection. CT scan showed good repositioning of the flap and edge to edge apposition at two weeks after operation. All the patients were followed up for 12 months post operatively. Skull had good appearance without any discharge and, local deformity or effusion. Repeat CT/MRI showed no subsidence or displacement of cranial flap or artifacts.

Conclusion: Mini titanium plate and screw fixation of cranial flaps is a simple, cost effective and safe option for repositioning and immediate stability as compared to traditional sutures.

doi: https://doi.org/10.12669/pjms.334.12003

How to cite this:Junaid M, Bukhari SS, Saeed MA, Mamoon Ur Rashid. Mini titanium plates; hearkening the end of nonrigid cranial bone flap fixation. Pak J Med Sci. 2017;33(4):915-919.   doi: https://doi.org/10.12669/pjms.334.12003

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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