FLAP COVER FOR EXPOSED TITANIUM IMPLANT POST CRANIOPLASTY WITHOUT REMOVING: TWO CASE REPORTS

Dr. Harish Kumar Sharma; Dr. Nupur Aggarwal; Dr.Kshiteej Dhull

Volume : VIII, Issue : XI, November - 2019

FLAP COVER FOR EXPOSED TITANIUM IMPLANT POST CRANIOPLASTY WITHOUT REMOVING: TWO CASE REPORTS

Dr. Harish Kumar Sharma, Dr. Nupur Aggarwal, Dr. Kshiteej Dhull

Abstract :

Scalp skin flap complications after decompressive craniectomy and cranioplasty exposing the underlying skull implant is a common case scenario being referred to plastic surgery for management. Titanium implants being strong, rigid and lightweight are most commonly used. Removal of the implant, skin closure and later a second cranioplasty has been the usual course of action for managing exposed infected implants. Here, we report two case scenarios with exposed titanium implant after cranioplasty due to scalp skin flap necrosis managed by covering the implant and exposed scalp bone with local scalp transposition flap without removing the implant. We experienced good clinical outcome with good wound healing and no further complications.