Self epidermization dura mater after cranioplasty under a titanium implant

Independent epidermis of the dura mater is rare. In the world literature there are references to isolated cases, one of which is given in this article. Patient L. was hospitalized with a diagnosis of closed traumatic brain injury, acute subdural hematoma above the left hemisphere of the brain. In order to decompress the brain structures, craniotomy was performed, removal of the subdural hematoma, and 4 months after cranioplasty injury with a titanium implant. Six months after discharge, a fistula formed in the cranioplasty area. With repeated hospitalization, the implant was removed with simultaneous plastic surgery with local tissues, and after 6 months, cranioplasty was performed with a titanium implant. In the postoperative period, two soft tissue defects with a diameter of up to 2 cm formed in the area of the operation. In order to restore the integrity of the skin on the 30th day, local plastic surgery was performed with oncoming triangular flaps. The postoperative period was uneventful...