Syndrome of trephine

Consensus statement of cranioplasty
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  • Consenting patients for CP surgery
    • Bleeding (Intraop vs Postop; Subgaleal, Extradural and Subdural effusion)
    • Wound breakdown (Skin ischemia/Decubitus leading to necrosis and resulting in either Wound Dehiscence or Flap Fistula)
    • Surgical Site Infection (Sup vs Deep; Primary vs Secondary; Early vs Late)
    • References: Zanotti B. Plast Aesthet Res 2:7, 2015
Do not use suction drain as can lead to fatality
Skin expanders should not be routinely be uses
  • Can lead to
    • Haematoma
    • Skin infection
    • CSF leak