case_images: PMC5799974_01
case_images: Preoperative photographs showing left cranial bone defect (frontal view)
case_images: JIPS-18-76-g001.jpg
case_images: PMC5799974_01_JIPS-18-76-g001.jpg
case_images: F1
case_images: He was referred from the Department of Neurosurgery, Medical College for rehabilitation of postsurgical defect on the left side of the head caused from firework tragedy [Figures 1-3].
case_images: Preoperative photographs (lateral view)
case_images: JIPS-18-76-g002.jpg
case_images: PMC5799974_01_JIPS-18-76-g002.jpg
case_images: F2
case_images: He was referred from the Department of Neurosurgery, Medical College for rehabilitation of postsurgical defect on the left side of the head caused from firework tragedy [Figures 1-3].
case_images: Computed tomography with skull defect
case_images: JIPS-18-76-g003.jpg
case_images: PMC5799974_01_JIPS-18-76-g003.jpg
case_images: F3
case_images: He was referred from the Department of Neurosurgery, Medical College for rehabilitation of postsurgical defect on the left side of the head caused from firework tragedy [Figures 1-3].
case_images: Impression of the defect
case_images: JIPS-18-76-g004.jpg
case_images: PMC5799974_01_JIPS-18-76-g004.jpg
case_images: F4
case_images: After setting, 2-3 layers of quick setting plaster was poured to achieve a firm base [Figure 4], and the impression was removed and poured in dental stone (kalstone) [Figure 5].
case_images: Retrieved cast
case_images: JIPS-18-76-g005.jpg
case_images: PMC5799974_01_JIPS-18-76-g005.jpg
case_images: F5
case_images: After setting, 2-3 layers of quick setting plaster was poured to achieve a firm base [Figure 4], and the impression was removed and poured in dental stone (kalstone) [Figure 5].
case_images: Wax pattern of the defect
case_images: JIPS-18-76-g006.jpg
case_images: PMC5799974_01_JIPS-18-76-g006.jpg
case_images: F6
case_images: Molten wax was poured into the defect for the fabrication of a wax pattern, and it was carved out from inside to simulate the thickness of the bone [Figure 6].
case_images: Extracranial tryin of titanium plate
case_images: JIPS-18-76-g007.jpg
case_images: PMC5799974_01_JIPS-18-76-g007.jpg
case_images: F7
case_images: In the titanium implant, 2-mm holes were drilled with same drill bits throughout the plate as per the instructions of neurosurgeon and were tried extracranially [Figure 7].
case_images: Neurosurgical procedure
case_images: JIPS-18-76-g008.jpg
case_images: PMC5799974_01_JIPS-18-76-g008.jpg
case_images: F8
case_images: Peroperative, after reflection of flap [Figure 8] and exposure of the bony defect, the implant was made to seat in the defect properly [Figure 9].
case_images: Neurosurgical procedure showing titanium implant in position
case_images: JIPS-18-76-g009.jpg
case_images: PMC5799974_01_JIPS-18-76-g009.jpg
case_images: F9
case_images: Peroperative, after reflection of flap [Figure 8] and exposure of the bony defect, the implant was made to seat in the defect properly [Figure 9].
case_images: Sutures placed
case_images: JIPS-18-76-g010.jpg
case_images: PMC5799974_01_JIPS-18-76-g010.jpg
case_images: F10
case_images: The screws were tightened into the holes to secure implant into position, and the flap was sutured back into position [Figure 10].
case_images: Postoperative view showing excellent adaptation and symmetry
case_images: JIPS-18-76-g011.jpg
case_images: PMC5799974_01_JIPS-18-76-g011.jpg
case_images: F11
case_images: The reestablished cranial contour was well appreciated during follow-up [Figures 11 and 12].
case_images: Postoperative aerial view
case_images: JIPS-18-76-g012.jpg
case_images: PMC5799974_01_JIPS-18-76-g012.jpg
case_images: F12
case_images: The reestablished cranial contour was well appreciated during follow-up [Figures 11 and 12].