title: Intraventricular migration of the bone dust. Is a second operation for removal necessary? Case report and review of the literature.
abstract: OBJECTIVE
  As the number of endoscopic third ventriculostomy (E3V) operations increase, new rare complications are encountered. In this article, a complication caused by bone particles that migrated into the third ventricle will be described. Additionally, the methods of avoidance as well as the necessity of a new approach will be discussed.
  
  
  METHODS
  After the video images of the first and second operations of a patient who was subjected to E3V twice were compared, it was discovered that one of the bone particles within the ventricle had occluded the ostium after the second operation. Most of the bones were removed and their pathological investigations were performed.
  
  
  RESULTS
  Video images of the patient, surgical observations of the second operation, emergence of the time of dysfunction, and other similar cases in the literature were assessed, and it was concluded that the bones that localized intraventricularly were living tissues.
  
  
  CONCLUSIONS
  Abandoning usage of bone dust for sealing burr holes is a solution to avoid this complication. In addition, it should be kept in mind that intraventricular bone particles might grow and lead to obstructions. If such particles are detected, removal of the bones in certain locations before formation of neovascularization can be an option.
authors.affiliation: Department of Neurosurgery, Ege University, Bornova, Izmir, Turkey. tuncer.turhan@ege.edu.tr
authors.forename: Tuncer
authors.initials: T
authors.lastname: Turhan
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Ersahin
mesh_terms: D000293:Adolescent; D001842:Bone and Bones; D004391:Dust; D005548:Foreign-Body Migration / Q000150:complications / Q000473:pathology / Q000601:surgery; D006801:Humans; D006849:Hydrocephalus / Q000601:surgery; D008297:Male; D044583:Neuroendoscopy / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D012086:Reoperation; D020542:Third Ventricle / Q000473:pathology* / Q000601:surgery; D014696:Ventriculostomy / Q000009:adverse effects* / Q000379:methods
chemical_list: D004391:Dust