Gram-negative Cranial Bone Flap Infection Treated with Continuous . . . The bone flap was extensively scrubbed with betadine before replacement Systemic antibiotic therapy was an important adjunct to success Patients typically received intravenous antibiotics for one to two weeks followed by two to four weeks of oral therapy
When the bone flap hits the floor - PubMed Treatment options include discarding the bone followed by cranioplasty versus replacing the bone after treatment with antibiotic irrigation, betadine, and or autoclaving Replacement after disinfection is an appropriate option for contaminated bone flaps that avoids the expense and time of cranioplasty
Bone flap salvage in acute surgical site infection after craniotomy for . . . Relying on aggressive debridement, removal of foreign material, and soaking of the bone flap in Betadine solution, they were able to demonstrate good results Bone flaps were preserved in 11 of 13 patients (85%) Four patients required additional debridement (31%)
Craniotomy - StatPearls - NCBI Bookshelf In a decompressive craniectomy used for the treatment of malignant brain edema, the bone flap is placed back a few weeks after the brain swelling has improved The surgical procedure to reconstruct and place the bone flap back into the skull during a second intervention is known as cranioplasty
When the Bone Flap Hits the Floor - journals. lww. com Dropping a bone flap during neurosurgery remains an uncommon but preventable complication Treatment options include discarding the bone followed by cranioplasty versus replacing the bone after treatment with antibiotic irrigation, betadine, and or autoclaving
Scalp flaps Craniotomy principles - aiimsnets. org Bone flaps •If dura is lacerated during cutting, saw should be turned off and removed backwards via entrance hole •Air cells opened: –Remove the mucosa –Pack with betadine soaked gelfoam –Pack with bone wax –Cover it up with vascularized tissue
Clinical Safety Effectiveness - UT Health San Antonio •Standardized protocol for handling of bone flap following removal and before implantation: –Completely submerged in Bacitracin infused normal saline x 15 minutes –Completely submerged in Betadine x 15 minutes –Irrigation with 3 liters normal saline with powered irrigation debridement system (i e Pulsavac)
Original Article Bone flap management strategies for postcraniotomy . . . Conclusion: Replacing the bone flap or performing an immediate titanium cranioplasty is safe alternatives to discarding the bone flap after postoperative craniotomy SSI When there is gross purulence present, caution should be used in replacing the bone flap, as infection recurrence is significantly higher in this subgroup of patients
Bone flap storage following craniectomy: a survey of practices in major . . . Following the initial craniotomy, the harvested skull flaps were most frequently (88%) double- or triple-bagged under dry, sterile conditions In 16% of hospitals, skull flaps were irrigated either with antibiotic mixed-saline or Betadine prior to cryopreservation