Infections under Skin Flap After Cranioplasty and a Simple Effective Treatment

Jun-Hui CHEN; Wenwen ZHANG; Zhong-Hua SHI; Lei CHEN; Xu HU; Jian-Qing HE; Yu-Hai WANG

doi:10.5137/1019-5149.JTN.22011-17.2

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Turkish Neurosurgery 2020 , Vol 30 , Num 6

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Infections under Skin Flap After Cranioplasty and a Simple Effective Treatment

Jun-Hui CHEN¹,Wenwen ZHANG²,Zhong-Hua SHI¹,Lei CHEN¹,Xu HU¹,Jian-Qing HE¹,Yu-Hai WANG¹

¹Anhui Medical University, Clinical Medical School, 904st Hospital of PLA (Wuxi Taihu Hospital), Department of Neurosurgery, Wuxi, China
²Taizhou NO.4 People?s Hospital, Departments of Neurosurgery, Taizhou, China DOI : 10.5137/1019-5149.JTN.22011-17.2 AIM: To report treatment experiences with titanium mesh cranioplasty infection at a single institution over the last 5 years.

MATERIAL and METHODS: We retrospectively reviewed 11 consecutive patients who were diagnosed with infection under the skin flap after titanium mesh cranioplasty and received our new treatment between Feb 2008 and Feb 2013. We performed a 2- to 6-year follow-up to evaluate prognosis and security.

RESULTS: All 11 patients were cured and discharged, and all saved their infected bone flap (titanium mesh) completely. There was no recurrence of infection after follow-up for 2-6 years.

CONCLUSION: Sensitive antibiotics combined with enclosed continuous irrigation and drainage is a safe, easy, economical and effective treatment for infection after titanium mesh cranioplasty that can save the infected bone flap. Keywords : Titanium mesh cranioplasty, Surgical site infection, Antibiotics, Enclosed continuous irrigation

Corresponding author : Yu-Hai WANG, wangyuhai1516@163.com