Turkish Neurosurgery
Infections under skin flap after titanium mesh cranioplasty and a simple effective treatment
CHEN JUN-HUI1, XU QIN-YI2, ZHANG CHUN-LEI1, CHEN LEI1, HE JIAN-QING1, WANG YU-HAI1
1Wuxi clinical college, Anhui Medical University, Neurosurgery, WUXI,
2Huishan People,s Hospital, Neurosurgery, WUXI,
DOI: 10.5137/1019-5149.JTN.22011-17.2

Objective: Sensitive antibiotics combined with enclosed continuous irrigation and drainage are a new, simple and effective method to treat infections under the skin flap after titanium mesh cranioplasty. 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. Conclusions: 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.

Corresponding author : CHEN JUN-HUI