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. 2013 Jan 28;4:12. doi: 10.4103/2152-7806.106290

Figure 5.

Figure 5

Technical note: Necessary to ensure adherence to the bone edge, which must be freshened to guarantee the maximum contact between the device and the cranium. The prosthesis is fixed with silk. It is not possible to use rigid fixing systems with this type of material, due to the risk of inducing micro-fractures in the prosthesis when it is still fragile. In the prosthesis design phase, it is required to indicate where to place the anchoring holes, dural, and muscular attachment. This is because once produced, the prosthesis can no longer be modified. The anchoring technique must be even more scrupulous in the case of extensive lacunae, which require two devices to reconstruct the necessary curvature