How I do it-the posterior question mark incision for decompressive hemicraniectomy.
Cranioplasty
Decompressive hemicraniectomy
Incision type
Posterior question mark incision
Skalp vascularization
Surgical site infection
Journal
Acta neurochirurgica
ISSN: 0942-0940
Titre abrégé: Acta Neurochir (Wien)
Pays: Austria
ID NLM: 0151000
Informations de publication
Date de publication:
05 2021
05 2021
Historique:
received:
10
10
2020
accepted:
16
03
2021
pubmed:
1
4
2021
medline:
9
7
2021
entrez:
31
3
2021
Statut:
ppublish
Résumé
Decompressive hemicraniectomy (DHC) is a lifesaving procedure which every neurosurgeon should master early on. As indications for the procedure are growing, the number of patients eventually requiring skull reconstruction via cranioplasty also increases. The posterior question mark incision is a straightforward alternative to the classic trauma-flap and can easily be adopted. Some particularities exist one should consider beforehand and are discussed here in detail. Surgical steps, aids, and pitfalls are comprehensively discussed to prepare surgeons who wish to gain experience with this type of incision. Due to the lower complication rate after cranioplasty, the posterior question mark incision has superseded the traditional pre-auricular starting anterior question mark incisions, in our department for the performance of decompressive hemicraniectomies.
Sections du résumé
BACKGROUND
Decompressive hemicraniectomy (DHC) is a lifesaving procedure which every neurosurgeon should master early on. As indications for the procedure are growing, the number of patients eventually requiring skull reconstruction via cranioplasty also increases. The posterior question mark incision is a straightforward alternative to the classic trauma-flap and can easily be adopted. Some particularities exist one should consider beforehand and are discussed here in detail.
METHODS
Surgical steps, aids, and pitfalls are comprehensively discussed to prepare surgeons who wish to gain experience with this type of incision.
CONCLUSION
Due to the lower complication rate after cranioplasty, the posterior question mark incision has superseded the traditional pre-auricular starting anterior question mark incisions, in our department for the performance of decompressive hemicraniectomies.
Identifiants
pubmed: 33787968
doi: 10.1007/s00701-021-04812-4
pii: 10.1007/s00701-021-04812-4
pmc: PMC8053663
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1447-1450Commentaires et corrections
Type : CommentIn
Type : CommentIn
Références
Br J Plast Surg. 1987 Mar;40(2):113-41
pubmed: 3567445
J Neurosurg. 2018 Oct;129(4):1017-1023
pubmed: 29148904
J Neurosurg. 2020 Apr 24;:1-9
pubmed: 32330877
Acta Neurochir (Wien). 2020 Apr;162(4):745-753
pubmed: 32025876
Front Neurol. 2018 Nov 20;9:977
pubmed: 30524359
J Neurosurg. 2011 Apr;114(4):954-60
pubmed: 20113157
Anat Res Int. 2015;2015:591961
pubmed: 26635976