People who are dissatisfied with the shape of their skull and have a variety of skull abnormalities undergo this surgery. Skull countoring is done to solve problems such as wide skulls, ridges and, and very narrow or very wide skulls. This surgery is not easy and the patient needs to be fully consulted with the surgeon. It is important for the surgeon to know about the patient’s needs and expectations before the operation.
Another reason for this surgery is a condition called craniosynostosis. Here the pattern of the baby’s skull changes due to the permanent fusion of one or more joints. As a result, the skull grows too large to give the brain more room to grow. However, sometimes this growth fails to create enough space and causes intracranial pressure. This condition causes sleep problems and even mental development disorders in the person. In cases where the skull is very wide, lowering the temperature is a strategy to reshape the skull. The long muscle that attaches to the side of a person’s head above the ear is called the temporalis muscle. This muscle can be shortened or in some cases completely removed to thin the bone to reduce the width of the skull. In the case of a patient with a history of craniotomy with a skull defect, craniotomy can be performed with the patient’s own bone or using a traditional implant of new skull.
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This depends on the procedure, the location, and the surgical approach. Your surgeon will discuss the specifics of your case with you.
You should call your neurosurgeon in the following situations: seizure, severe headache, worsening neurological problems, fever or chills, swelling of the ankles, bleeding or bruising, severe nausea or vomiting, and skin rash.
Access to perform any skull augmentation/reduction procedure does require incisions. All incisions leave scars. But when one thinks of scalp scars from surgery, one is again drawn to neurosurgery where long incisions that may be noticeable are quite common. While neurosurgeons do not deliberately mean to leave large visible scars, their focus is on more important lifesaving efforts that lie underneath the scalp.
Traditional cranial implants for large and complex cranial defects is another option of traditional cranial implant. Using a 3D scan of patient, a traditional skull implant is created in accurate size to fill the asymmetrical parts of the patient’s skull. PEEK and HTR are common choices to choose from among the many materials used in this cranial remodeling process. Today, traditional implants from the front of the head to its back are carried out to strengthen it. Due to the flexible properties of implants, it is possible to cut them from large to small in small sections.
How is the skull countoring surgery performed?
This procedure, like skull and face surgery, is performed under general anesthesia. It is generally believed that the patient does not need to shave his head or remove excess hair during this process. Depending on the characteristics and shape of the head, the size and position of the incisions may vary. In the case of accomplishing countoring to smooth out bumps, the bone is smoothed using a burning tool or rotary tool. A synthetic biological material such as polymethyl methacrylate and hydroxyapatite is used when the skull needs to be filled or rounded. Polymethyl methacrylate is the most common material in the skull countoring process due to its price and volume. The best thing about these materials is that they are biologically suitable and compatible with the patient’s bone.
After surgery, the initial recovery time is about a week or ten days. The patient can take a normal shower and wash his head 48 hours after surgery. Immediately after that, the scalp is cleansed and bandaged. There is no bruising. The patient may only feel a little uncomfortable in the first few days. The patient should expect swelling but not worry because it will go away after a week. The last effects of surgery can be seen only two or three months after surgery. This surgery can be done for children and adolescents as well. The goal is to reshape the skull to give it a more pleasing appearance. Parents turn to surgeons when their children have problems such as flat occipital bone. Cavities caused by dents and dimples. Other problems include the head being too wide or too long, even there may be bumps, lumps, and sharp ridges on children’s skulls.
Is skull countoring surgery dangerous?
Like any surgery, those who decide to have it are concerned that it may be dangerous.
In answer to all the questions that have been asked about the dangers of skull reshaping, we should tell you that:
– The parietal bone can be countered.
– An implant can be placed behind the head to add curvature.
– By reducing the temperature of the muscle and thinning the bone, the side of the head can be thinned.
-Because this is a safe cosmetic surgery, there is no danger of death.
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Allergic reactions to anesthetics, bleeding in the brain, coma, swelling in the brain, infections that may occur in the brain or in the injured area, other than these issues, generally, no risk threat the patient. The patient may experience memory problems, speech disorders, blurred vision, and even blood clots.
Another surgery that is performed to solve the problems of the jaw, mouth, face and neck is the maxillofacial surgery. If the oral problem is difficult to correct with the dental surgery process, the dentist or orthodontist may refer the patient to perform the maxillofacial surgery. Other cases include large or small canines, asymmetric jaws, or other defects. The process of maxillofacial surgery is not an easy task. Surgery involves composite reconstructions of the jaw and face, taking into account the vessels that run through the patient’s face. Because shaved or thinning heads and head exposure are more common among men, men have more skull reshaping patients than women. Women can cover their skull abnormalities with a lot of hair.
One of the most common questions is whether this surgery leads to hair loss. The answer is that there is a probability for insignificant hair loss at the place of incisions, but no other form of surgery can cause hair loss. The skull has an uninterrupted source of blood and the blood vessels throughout the scalp are interconnected. Another point is that the human skull has five thick layers of tissue and hair follicles are located in the outer layer. They are very far from the procedure done and bone surface. In response to questions about the risks and dangers of cranial countoring surgery, we are happy to tell you that there is no risk of death. This surgery is very safe and the patient should not worry about its risks.
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