Craniotomy pieces can be wired back to the rest of the skull. The vessels would then invade the ablated piece and revascularize it progressively.
If it’s a decompressive craniotomy, they would usually leave a “window” open suture the skin back. Then they would keep the part of the skull that they removed to be frozen and grafted back, in the short term. The craniectomy piece has low probability of grafting properly in the mid- to long-term, so they would fallback on using titanium or ceramic grafts, molded to give adequate appearance.
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