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An Unusual Complication of Bone Wax Utilization
Artur Fahradyan1,2, Levonti Ohanisian3, Michaela Tsuha1
1Division of Plastic and Maxillofacial Surgery, Children's Hospital Los Angeles.
The Journal of Craniofacial Surgery
|February 14, 2018
Summary
This case report details a rare instance of intracranial bone wax migration in a child following craniotomy. The migrated bone wax caused neurological deficits, which resolved after surgical removal.
Area of Science:
- Neurosurgery
- Surgical Materials Science
Background:
- Bone wax is a widely used hemostatic agent in neurosurgery.
- While generally safe, complications like inflammation, infection, and migration can occur.
Purpose of the Study:
- To report a rare case of intracranial bone wax migration in a pediatric patient.
- To highlight the potential neurological sequelae and successful management of this complication.
Main Methods:
- A 6-year-old patient underwent craniotomy for subdural hematoma evacuation and skull fracture repair.
- Several months later, following scar revision surgery, the patient developed neurological symptoms.
- Imaging revealed an intracranial foreign body, surgically removed and identified as bone wax.
Main Results:
- The patient presented with short-term memory loss, apraxia, and word finding difficulties.
- Surgical removal of the intracranial bone wax was successful.
- The patient experienced complete recovery of neurological symptoms post-excision.
Conclusions:
- Intracranial bone wax migration is a rare but significant complication.
- Prompt diagnosis and surgical intervention are crucial for favorable outcomes.
- This case underscores the importance of vigilance for delayed complications of surgical materials.
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