TY - JOUR
T1 - Double dural patch in decompressive craniectomy to preserve the temporal muscle
T2 - technical note
AU - Missori, Paolo
AU - Polli, Filippo Maria
AU - Peschillo, Simone
AU - D'Avella, Elena
AU - Paolini, Sergio
AU - Miscusi, Massimo
PY - 2008/10
Y1 - 2008/10
N2 - Background: In frontotemporal decompressive craniectomy and subsequent cranioplasty, temporal muscle damage is frequently observed as a result of surgical manipulation, lack of bone attachment, and prolonged muscle inactivity. We investigated the use of a double dural patch in decompressive craniectomy to favor the safe surgical dissection of the temporal muscle in the subsequent cranioplasty and reduce temporal muscle damage. Methods: In 11 patients submitted to a decompressive craniectomy and duraplasty, a second (external) dural sheet was positioned to separate the inner dural patch from the temporal muscle. Results: When bone repositioning was performed, the detachment of the deep temporal muscle surface, covered by the external dural sheet, was easy and fast, with reduced blood loss. All the muscle fibers were preserved. Conclusion: The technique described in this article reduces the damage to the temporal muscle and can improve the functional and cosmetic results after decompressive craniectomy and cranioplasty.
AB - Background: In frontotemporal decompressive craniectomy and subsequent cranioplasty, temporal muscle damage is frequently observed as a result of surgical manipulation, lack of bone attachment, and prolonged muscle inactivity. We investigated the use of a double dural patch in decompressive craniectomy to favor the safe surgical dissection of the temporal muscle in the subsequent cranioplasty and reduce temporal muscle damage. Methods: In 11 patients submitted to a decompressive craniectomy and duraplasty, a second (external) dural sheet was positioned to separate the inner dural patch from the temporal muscle. Results: When bone repositioning was performed, the detachment of the deep temporal muscle surface, covered by the external dural sheet, was easy and fast, with reduced blood loss. All the muscle fibers were preserved. Conclusion: The technique described in this article reduces the damage to the temporal muscle and can improve the functional and cosmetic results after decompressive craniectomy and cranioplasty.
KW - Cranioplasty
KW - Decompressive craniectomy
KW - Dural patch
KW - Intracranial hypertension
KW - Temporal muscle
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U2 - 10.1016/j.surneu.2007.03.029
DO - 10.1016/j.surneu.2007.03.029
M3 - Article
C2 - 17707489
AN - SCOPUS:51349132686
VL - 70
SP - 437
EP - 439
JO - Surgical Neurology
JF - Surgical Neurology
SN - 0090-3019
IS - 4
ER -