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Cranioplasty

Cranioplasty

The Centre of Excellence for Neurosciences at Vimhans Nayati Super Speciality Hospital resorts to the use of up to date techniques and methods to offer the best diagnostic, treatment and management facilities for a broad spectrum of neurological conditions and disorders. Our areas of specialization include both medication and surgery, complemented by state-of-the-art therapies and rehabilitation programmes. The plethora of treatments offered by us include cranioplasty, which is a surgical procedure that aims at correcting any defects in the skull bone, be it congenital or a result of an injury or trauma sustained in an accident.

Cranioplasty can be of various different types and usually involves lifting of the scalp with the help of prosthetic components that include a titanium plate, prosthetic bone substitute and customized implant to match the shape of the skull.

In case of conventional cranioplasty, the doctors implant the prosthetic components by accessing the cranial location by peeling all the 5 layers of the skin, whereas, in case of Pericranial-Onlay cranioplasty, the doctors just peel the top 3 layers and insert the implant, keeping the brain completely intact.

Why is the procedure performed?

Cranioplasty aims at correcting defects of the skull and may be recommended for addressing any of the following problems:

  • To protect the brain from any damage. The skull protects the brain and such defects can increase your brain’s vulnerability to damage so it becomes important to address these.
  • Improve the function of the brain as cranial defects can interfere with normal neurological function if left untreated 
  • To enhance the appearance of the patient by correcting visible deformities
  • To reduce pain, discomfort and headaches that may be triggered by the deformity

How to prepare for the procedure?

Preparing for the surgical procedure is as important as the procedure itself. Here are a few things that are to be done before the surgery:

  • Talk to your doctor about the procedure and get all your queries answered.
  • Get an overall health assessment to ensure that you are eligible for the procedure. This includes routine blood tests and general body check-up.
  • Inform the doctor about your medical history or ant prevailing condition.
  • Make sure that your doctor is aware of all the medicine you have been taking as you might be required to stop taking this for some time.
  • You will be recommended to take certain medication, starting from a week or more prior to the surgery.

Steps involved in Cranioplasty:

The surgery is performed under the influence of general anaesthesia.

  • The head of the patient is positioned to gain optimal access to the affected area.
  • The area is then shaved and cleaned properly so as to prepare a spot for making the incision.
  • The surgeon carefully makes an incision through the various layers of the skin, keeping the dura completely intact.
  • The area is prepared for the implantation of the prosthetic components and these are positioned very carefully in the defected area and fixed with the help of surgical screws and plates.
  • Once the procedure is complete, the layers of the scalp are placed back. A suction drain may be placed temporarily to remove excess fluid.

Recovering from the procedure

After the procedure, the patient is shifted to the intensive care unit to be kept under keen observation.

  • Your vitals will be recorded on a regular basis along with your limb strength and level of alertness.
  • Post-operative headaches are normal and can be managed with the help of prescribed medications
  • The urinary catheter and IV drips are removed in a day or two.
  • You may be required to stay in the hospital for 3 to 4 days.

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