The Process of Closing the Skull after an Autopsy: Details and Procedures

After a post-mortem examination, known as an autopsy, the final step is to properly close the skull and ensure the body is prepared for burial or further handling. This process is crucial to maintain the dignity of the deceased and to ensure the body is safely stored. In this article, we will delve into the specific procedures involved in closing the skull and the reasoning behind each step, along with relevant details and procedures.

Why Is the Brain Not Restored to the Head?

One of the key reasons the brain is not restored to the head after an autopsy is the structural and functional limitations of the brain itself. During an autopsy, the brain is removed for a detailed examination, which involves careful and meticulous dissection. This process not only allows for a thorough examination of the brain but also rules out the possibility of restoring the brain to its original position.

The brain is a delicate organ, and even with the best medical technology and expertise, it is not feasible to reattach the brain to the head during or after the autopsy. The brain relies on a continuous supply of oxygen and nutrients, which is compromised during the dissection process. The tissue also becomes highly fragile and may not withstand the process of reattachment without permanent damage. Therefore, placing the brain back in the head would not only disallow its functionality but also introduce a risk of tissue deterioration and potential contamination of the head during reassembly.

The Specific Procedures for Closing the Skull

The process of closing the skull after an autopsy involves several steps, each designed to ensure the integrity and dignity of the body. Here's a detailed breakdown of the procedures:

Step 1: Removing the Skull Cap

The first step is to remove the skull cap, which has been cut open during the autopsy. This involves carefully detaching the sawn section from the side of the skull. Once the skull cap is removed, the brain is extracted, and the autopsy examination can begin.

Step 2: Preparing the Head for Closing

After the autopsy, the head is prepared for closing by cleaning the interior of the skull. This involves removing any blood, tissue debris, and other contaminants that may have accumulated during the procedure. The interior of the skull is then sterilized to prevent contamination of the body.

Step 3: Replacing the Brain Tissue

Following the examination, the brain tissue removed for analysis is carefully documented and preserved. While the brain itself may not be replaced, the remaining brain tissue at the base of the skull is gently cleaned and reshaped to comfortably fit the opened cavity. This ensures the head is symmetrical and minimizes any visible deformities.

Step 4: Reattaching the Skull Cap

Once the interior of the skull is prepared, the skull cap is reattached using specialized techniques. This usually involves securing the edges with medical-grade adhesive or sutures. The areas where the skull cap was attached are carefully aligned, ensuring a seamless closure. This process is done to maintain the structural integrity of the skull and to reduce the risk of infection.

Step 5: Closing the Scalp

The final step involves closing the incision in the scalp. This is typically done through suturing or stitching, using techniques that minimize visible scarring and ensure a strong, clean closure. The suture sites are carefully monitored for signs of infection and other complications.

Reasons for Placing the Brain Tissue in the Body Cavity

While the brain itself is not restored to the head, the dissected brain tissue is typically preserved and placed in the body cavity with the rest of the internal organs. This tissue is examined for pathological changes, abnormal structures, or any signs of disease that might have contributed to the individual's death. Placing the tissue in the body cavity allows for a more comprehensive examination and analysis, which is crucial for determining the cause of death and for forensic purposes.

Conclusion

Closing the skull after an autopsy is a meticulous process that involves several key steps. The reasoning behind not restoring the brain to the head is based on the delicate nature of the brain and the potential risks associated with reattaching it. This process not only ensures the dignity of the deceased but also allows for a thorough and accurate examination of the body.