{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T22:14:20Z","timestamp":1787004860840,"version":"build-2736575974"},"reference-count":7,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg A Cent Eur Neurosurg"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Background\u2003Cranioplasty can be a challenging procedure in certain patients, such as those with scalp necrosis, or when performed after multiple surgical procedures. Herein, we present a patient in whom a part of the skull was placed inside out in a setting where the scalp wound could not be simply sutured because of multiple previous operations.<\/jats:p>\n                  <jats:p>Methods\u2003A 66-year-old patient with a history of multiple craniotomies to resect an intracranial tumor suffered significant skin flap necrosis after harvesting the superficial temporal artery for a bypass intending to ligate the internal carotid artery. He subsequently underwent a one-stage reconstruction surgery, in which the central part of the bone was excised, turned over, and fixed at the inner plate of the bone flap on the outside, and the outer plate on the inside.<\/jats:p>\n                  <jats:p>Results\u2003This technique reduced the skin tension and reduced the epidural dead space, allowing skin flap healing with acceptable cosmetic results.<\/jats:p>\n                  <jats:p>Conclusion\u2003\u201cInside out cranioplasty\u201d is a valid option for one-stage reconstruction in the cases with scalp necrosis.<\/jats:p>","DOI":"10.1055\/a-2053-8491","type":"journal-article","created":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T20:30:00Z","timestamp":1678825800000},"page":"615-617","source":"Crossref","is-referenced-by-count":2,"title":["Inside Out Cranioplasty: A Novel Technique for One-Stage Reconstruction of Persistent Scalp Necrosis"],"prefix":"10.1055","volume":"85","author":[{"given":"Shigeomi","family":"Yokoya","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Saiseikai Shiga Hospital, Imperial Gift Foundation Inc., Shiga, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideki","family":"Oka","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Saiseikai Shiga Hospital, Imperial Gift Foundation Inc., Shiga, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akihiko","family":"Hino","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Saiseikai Shiga Hospital, Imperial Gift Foundation Inc., Shiga, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,8,2]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"492","DOI":"10.3340\/jkns.2016.59.5.492","article-title":"Which one is better to reduce the infection rate, early or late cranioplasty?","volume":"59","author":"J S Oh","year":"2016","journal-title":"J Korean Neurosurg Soc"},{"issue":"10","key":"ref2","doi-asserted-by":"crossref","first-page":"1115","DOI":"10.1016\/j.jocn.2007.09.022","article-title":"Factors affecting graft infection after cranioplasty","volume":"15","author":"Y K Cheng","year":"2008","journal-title":"J Clin Neurosci"},{"issue":"05","key":"ref3","doi-asserted-by":"crossref","first-page":"1145","DOI":"10.3171\/2014.12.JNS132602","article-title":"Operative wound-related complications after cranial revascularization surgeries","volume":"123","author":"K Takanari","year":"2015","journal-title":"J Neurosurg"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"13","DOI":"10.4103\/2006-8808.78465","article-title":"Split calvarial bone graft for the reconstruction of skull defects","volume":"3","author":"A Agrawal","year":"2011","journal-title":"J Surg Tech Case Rep"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/S1010-5182(05)80001-0","article-title":"Cranioplasty: indications, technique, and early results of autogenous split skull cranial vault reconstruction","volume":"23","author":"C Lee","year":"1995","journal-title":"J Craniomaxillofac Surg"},{"issue":"06","key":"ref6","doi-asserted-by":"crossref","first-page":"1203","DOI":"10.3171\/jns.2003.98.6.1203","article-title":"Preservation of bone flaps in patients with postcraniotomy infections","volume":"98","author":"J N Bruce","year":"2003","journal-title":"J Neurosurg"},{"issue":"05","key":"ref7","doi-asserted-by":"crossref","first-page":"1101","DOI":"10.1097\/PRS.0b013e318267d5cb","article-title":"Advanced cranial reconstruction using intracranial free flaps and cranial bone grafts: an algorithmic approach developed from the modern battlefield","volume":"130","author":"A R Kumar","year":"2012","journal-title":"Plast Reconstr Surg"}],"container-title":["Journal of Neurological Surgery Part A: Central European Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2053-8491.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T08:03:23Z","timestamp":1730793803000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2053-8491"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,14]]},"references-count":7,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2024,10,4]]},"published-print":{"date-parts":[[2024,11]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2053-8491","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2193-6315","2193-6323"],"issn-type":[{"value":"2193-6315","type":"print"},{"value":"2193-6323","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,3,14]]},"published":{"date-parts":[[2023,3,14]]}}}