CRANIOTOMY AND CRANIECTOMY - Dura mater incision closed with sutures.

- Reattach bone flap with metal plates and

Layers: screws that will remain in the skull for life.
- Meninges - surround the brain - Incision closed with staples.
- Dura mater
- Arachnoid mater Craniectomy (brain is very swollen or skull is
- Subarachnoid space (CSF & blood vessels) infected.)
- Pia mater - Delay of reattaching the bone flap
- Cranioplasty (after swelling subsides.)
Craniotomy may be recommended to remove: - Reattach with metal plates and screws.
- Abnormal brain tissue (tumor) - Closed with staples.
- Sample of tissue biopsy
- Blood clot (hematoma) After the Procedure:
- Excess CSF - Remain in hospital for a few days.
- PUS (abscess) - Brain function frequently checked (through
questions or shining light over eyes.)
Craniotomy my also be done to: - Medication to prevent complications.
- Relieve brain swelling
- Top hemorrhage
- Repair abnormal blood vessels
- Repair skull fractures
- Repair damage to meninges
- Treat brain conditions
- Deliver medication to brain
- Implant medical device

Before the Procedure:

- General anesthesia
- Scalp shaved over umor
- Incision (holes will be made; holes are
connected to make a bone flap.)
- Incision on dura mater - removal of tumor