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FIG 4. Intraoperative photograph of patient 1. The cerebral cortex is encountered in the subgaleal plane after scalp incision.FIG 5. Operative appearance of growing skull fracture that remained untreated for 6 months after injury. A sizable defect has developed, necessitating large dural and split-thickness calvarial grafts. Acutely treated cranial burst fractures rarely require grafts of either skull or dura
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