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Malala is 'stable' after five-hour operations

A hospital spokeswoman said Malala's medical team were "very pleased" with her progress following the operations, which lasted for around five hours.

Both operations were a success and Malala is now recovering in hospital.

Her condition is described as stable and her medical team are very pleased with the progress she has made so far.

She is awake and talking to staff and members of her family.

– Queen Elizabeth Hospital Birmingham spokesperson

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Malala not 'naive' about her profile around the world

by Rupert Evelyn: ITV News Midlands Correspondent

Dr Dave Rosser said that Malala's recovery is "first and foremost" testament to her "desire to get better and her strength".

He said that she is not "naive at all" about the fact that she is a high-profile patient and that she remains a target for some.

He added that she is a "remarkable young lady" and described her as "very lively" with a "great sense of humour".

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Damaged part of skull 'stored' in Malala's abdomen

by Rupert Evelyn: ITV News Midlands Correspondent

Malala is to undergo major surgery in the next few days to repair the missing part of her skull.

The fragment of skull that was damaged by the bullet has been stored in her abdomen since she was initially treated.

Dr Dave Rosser,Medical Director at Queen Elizabeth Hospital, told me that the procedure is quite common and that Malala made the final decision to opt for a titanium plate.

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Hospital describes Malala's injuries and surgery

The titanium cranioplasty procedure [to fit a titanium plate to Malala's skull] is carried out first and will take between one and two hours. The head will be shaved at the wound location and the flap of skin covering it will be prepared and draped back ...

The 0.6mm metal plate that has been moulded from a 3D model created through CT imaging from Malala’s own skull, will then be put in place. It is secured to the skull with screws placed in 2mm counter-sunk holes.

The flap of skin is then draped back over the plate and stitched into place.

The cochlear [hearing implant] surgeon then takes over from the neurosurgeon. The surgeon will locate the cochlear and identify the structures of the inner ear. An incision will be made in the round window membrane and the implant is fed through it ...

This part of the surgery will take approximately 90 minutes.

– queen Elizabeth hospital statement
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Prosthetist describes how titanium plate was made

In this video, Principal Maxillofacial Prosthetist Stefan Edmondson describes how he moulded the titanium plate that will cover the missing section of Malala's skull.

He describes how an exact model of the damaged part of the skull was made so that the metal plate could be gradually moulded and refined until it was a perfect fit.

The metal plate is just over half a millimetre thick and is secured to the skull with tiny screws.

National

Details of Malala's next phase of surgery revealed

Birmingham's Queen Elizabeth Hospital has revealed details of the next phase of surgery for the Pakistani schoolgirl Malala Yousafzai.

Malala leaving hospital to live with her family in Birmingham Credit: REUTERS/Queen Elizabeth Hospital Birmingham/Handout

The surgery will involve fitting a specially-moulded titanium plate to replace a missing section of her skull after she survived being shot a point blank range.

Surgeons will also be fitting a small electronic device to improve hearing in her left ear.

Read: Malala released from hospital

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