Doctor insights on:
Bone Flap Infection
I had a craniotomy. For the past several months it feels like the bone flap is eroding what can cause this?
Not necessarily: Recommend discussion with your surgeon, as it would be rather unusual for a bone flap to erode. You need to explore why you are experiencing unusual feelings and whether this relates to structural changes at the prior operative site. ...Read more
Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more
Most likely: You mean you have defect in your skull waiting staged procedure, to fill the gap in the skull, if it is the problem, then you must clear with your neurosurgeon, most likely he will not allow, for fear of injury to brain. ...Read more
My 16 months baby boy needs rt cranioplasty for the frontotemporal bone, what is the best material of chioce, acryclic or split thickness bone flap.
Up to the surgeon: The answer lies in the experience and judgement of the surgeon. ...Read more
I am not sure: I am not sure. Lets see if someone else with expertise in neurosurgery will answer your question. ...Read more
After brain surgery, how's the bone flap replaced? What materials are usually used to reattach it? Can it be glued back? Dissolvable stitches?
Varies regionally: At this time, in the U.S. The most common method of bone flap replacement is with small titanium bridging plates and screws that are placed circumferentially around the bone flap. Years ago, wires or sutures were also used. The plates are firmer and allow scar to bridge the gap between the bone flap and the cranium. Sometimes a bone matrix is placed in the gap to help "glue" the pieces together. ...Read more
Does the dent from burr holes after brain surgery ever go away? What about from bone flap reattachment? Do scars ever disappear completely?
Nope: Depending on your age burr hole cavities may nearly completey fill in and may not be noticeable but will never completely go away. The same can be said for scars as depending on your age and genetics the scar may become very small but no matter who you are they never become exactly like the tissue prior to injury. ...Read more
Osteomyelitis: This usually produces pain over the area of bone involved, often fever and other signs and symptoms of inflammation. Diagnosis is best made by biopsy and culture, but the presence of osteomyelitis (bone infection) may be suspected clinically and supported by imaging studies, including ct, MRI and nuclear scans. ...Read more
Fairly serious: Bone infections (osteomyelitis) is generally curable in its acute form with antimicrobials alone. It requires about 6 weeks of therapy, however which may need to be iv. If, however, the infection is not recognized and treated in the acute stage, adequate surgical cleaning up of the bone is required with the antimicrobials to cure. If not an option, antimicrobial suppression may be used. ...Read more
You said it :): Osteomyelitis is "infection in the bone". The source can start from a basic skin or joint infection that is not healing well - this can be a serious infection and usually requires IV antibiotics for a period of 6 weeks or more.- hope this was helpful :). ...Read more
When bone get infected we call it osteomyelitis is defined as an inflammation or an infection in the bone marrow and surrounding bone. The disease is classified as either acute or chronic.
Bone pain; fever; general discomfort, uneasiness, or ill-feeling (malaise) local swelling, redness, and warmth. ...Read more
Pain and swelling: Pain, swelling, drainage, fevers, inability to walk, stiffness, lack of joint motion. Blood tests should be done and usually reveal elevated white blood cell count, elevated sedimentation rate, elevated c-reactive protein. Blood cultures and drainage cultures usually reveal the bacteria involved. Osteomyelitis is the technical term, and often requires hospitalization. ...Read more
Bonemarrow infection: Osteomyelitis is an infection of the bone. Osteo is derived from the greek osteon. Inflammation or infection. A broad range of organisms can cause infection from bacteria, to viruses (less common), to fungi (mycotic). Acute and chronic infections exist. Long term IV treatment with antibiotics (or antifungals or other agents) are needed. In my experience no less than 8 weeks will lead to cure. ...Read more
Osteomyelitis..: A bone infection, can be diagnosed by x-ray but it can take 1-2 weeks for changes to be seen. Both MRI and bone scans are positive earlier. Many times, at least in acute osteomyelitis, blood cultures will be positive. Staphylococci are among the most common bacteria in this infection. ...Read more
U mean Osteomyelitis:
One will have fever, chills maybe, pain in the affected bone, with redness, local warmth, severe tenderness, difficulty to move the adjacent joints. Throbbing pain & overlying skin might breakdown with obvious pus draining.
One needs early Diagnosis an immediate treatment with I/V antibiotics, surgery to decompress the affected bone or maybe even removal of some dead bone.
See an Orthopod soon. ...Read more
Antibiotics/Surgery: Osteomyelitis is an infection of the bone, usually caused by bacteria. Typically, the infected and/or dead bone needs to be surgically removed. Once the bone has been cultured and the type of bacteria identifed, appropriate antibiotic therapy is started. Some infections require long term IV antibiotics (6 or more weeks). ...Read more
Pain/Redness: There is a wide range of symptoms, including pain, redness over the area, development of an abscess or a draining wound, fevers, chills or possibly none of these. There is blood work that can be collected that can be suggestive of an infection but the only sure way to know is to get a biopsy and collect cultures from the bone itself. ...Read more
No: There is always a reason. Generally it may involve the organism causing the infection, the treatment used and its duration, whether a primary focus of infection has been overlooked or inapparent, and other factors. The patient should be seen by an infectious diseases expert and possibly an orthopedic surgeon working together. ...Read more
Infections are invasions of some other organism (fungus, bacteria, parasite) or viruses into places where they do not belong. For instance, we have normal gut bacteria that live within us without causing problems; however, when those penetrate the bowel wall and enter the bloodstream, ...Read more