Exploratory Craniotomy with Craniotome
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Skull flap creation

Skin

Mark

Mark the skin along the hairline in the line of the nose. Mark the skin 1cm anterior to the tragus and extend the marking in a curvilinear direction around the ear, and in the direction of the midline ending at the harline. Mark a line joining the tragus marking to that of the hairline. Mark the keyhole.

Incise

Incise the skin along the markings in a curvilinear direction starting at the hairline down to the underlying bone and temporal muscle more cranially.

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