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Updated: Oct 8, 2025

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Removing Craniofacial Titanium Screws: Technical Note.

Jaims Lim1, Amade Bregy1, Kevin Gibbons1

  • 1Neurological Surgery, Buffalo General Medical Center, Buffalo, USA.

Cureus
|January 3, 2022
PubMed
Summary
This summary is machine-generated.

A novel technique using plastic specimen cups safely secures small titanium cranial screws during removal, preventing loss and surgical complications. This method enhances efficiency and safety in neurosurgical procedures involving hardware.

Keywords:
craniofacial traumaopen craniotomytitanium 2-d miniplatestitanium 3-d miniplatestitanium cranioplasty

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Area of Science:

  • Neurosurgery
  • Biomaterials Engineering

Background:

  • Craniotomy, cranioplasty, and craniofacial surgeries often require hardware removal.
  • Titanium screws used in these procedures are small and prone to loss or difficulty during removal.

Purpose of the Study:

  • To describe a simple, safe, and effective method for retrieving and securing titanium cranial screws during reoperation.
  • To prevent intraoperative loss, dropping, or misplacement of small titanium hardware.

Main Methods:

  • Utilizing a plastic specimen cup adjacent to the screw removal site.
  • Re-screwing the detached titanium screw into the base of the specimen cup.
  • Securing the cup within a second cup for safe storage and handling.

Main Results:

  • The described method rapidly and safely secures titanium screws, preventing intraoperative loss.
  • It avoids difficulties in detaching screws from screwdrivers and potential glove perforation.
  • This technique streamlines hardware removal, reducing operative time and need for assistance.

Conclusions:

  • The adjunctive use of plastic specimen cups is an effective strategy for managing titanium cranial screws during removal.
  • This technique enhances intraoperative safety, efficiency, and screw management in neurosurgical procedures.