BBC News Birmingham & Black Country

30 January 2013 Last updated at 13:55 GMT

Malala Yousafzai: Queen Elizabeth Hospital surgery to repair skull

Doctors have revealed how they are going to repair a missing area of the skull 
of Pakistani schoolgirl activist Malala Yousafzai.

Surgeons at Birmingham's Queen Elizabeth Hospital have been giving details 
about two procedures due to be carried out on the 15-year-old.

Malala was discharged from the hospital earlier this month after being shot in 
the head by the Taliban in October.

The hospital said the surgery would take place in the next 10 days.

The first procedure will involve drilling into her skull and inserting a 
custom-made metal plate.

Doctors said Malala had been left completely deaf in her left ear when she was 
shot at point-blank range.
'Remarkable recovery'

The shockwave destroyed her eardrum and the bones for hearing.

The second procedure will involve fitting a small electronic device that 
provides a sense of sound to someone who is profoundly deaf or severely hard of 
hearing.

Dr Dave Rosser, medical director at the QEHB, said: "Her recovery is remarkable 
and it's a testament to her strength and desire to get better.

"There is no doubt that the surgery she underwent in Pakistan was life saving.

"Had that surgery not been of such a high standard she would have died."

He added each procedure should take about 90 minutes and her full recovery 
could take another 15 to 18 months.

Dr Rosser said the missing part of Malala's skull had been put in her abdomen 
by surgeons in Pakistan, in order to "keep the bone alive".

Doctors in Birmingham have chosen to use a metal plate to repair her skull 
instead of that bone, which they say may have shrunk.

Dr Rosser added this was common practice worldwide to keep the bone healthy.

He said: "Malala currently has no skull, she only has skin covering the brain."
'Unique' hospital

Malala has asked to keep the bone once it has been removed, said Dr Rosser.

The QEHB is home to the Royal Centre for Defence Medicine where members of the 
armed service who have been injured overseas are treated.

Dr Rosser said the hospital was "unique" because all the treatment Malala 
required could be done within the same organisation.

Stefan Edmondson, principal maxillofacial prosthetist, at the QEHB said: "What 
we're doing here could be done elsewhere but because we're such a large 
super-regional unit with a large neurological unit we see a lot more advanced 
cranial defects.

"We're fortunate in that aspect to see a lot more complicated cases and [it 
means] we have the software here."
1/4

Malala came to prominence when, as an 11-year-old, she wrote a diary for BBC 
Urdu, giving an account of how her school in Mingora town dealt with the 
Taliban's 2009 edict to close girls' schools.

Her love for education, and her courage in standing up to the Taliban, earned 
her a national peace award in 2011.

Tens of thousands of people have signed a petition calling for Malala to 
receive the Nobel Peace Prize.

The Pakistan government has given Malala's father, Ziaududdin Yousafzai, a job 
in Birmingham as the education attache at the Consulate of Pakistan for at 
least three years.


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