Search

Your search keyword '"Hinge craniotomy"' showing total 3 results
Start Over Descriptor "Hinge craniotomy" Journal surgical neurology international
3 results on '"Hinge craniotomy"'

1. Managing the "big black brain" in low resource setting: A case report of early outcome after hinge craniotomy.

Author

Siahaan AMP, Nainggolan BWM, Susanto M, Indharty RS, and Tandean S

Abstract

Background: The big black brain (BBB) phenomenon is described as an infant's response to an acute subdural hematoma (SDH). It is characterized by hypodensity and swelling of the supratentorial compartment as a whole. Numerous factors may contribute to the formation of the BBB. Due to its high morbidity and mortality, the management of BBB is still debatable. In this report, we describe a 2-month-old boy who had bilateral hemispheric hypodensity and underwent hinge craniotomy., Case Description: The patient was referred to our hospital with decreased consciousness. The patient had a history of seizures and cardiopulmonary arrest. There is no history of trauma. The computed tomography revealed a subacute SDH on the left parietal and occipital lobe along with hypodensity in both hemispheres with preservation of posterior fossa, consistent with hemispheric hypodensity. We performed a hinge craniotomy for the emergency procedure and evacuated only the hemisphere with the bleeding side. The patient cried spontaneously 24 hours after the procedure and was discharged six days later., Conclusion: Early outcomes of hinge craniotomy as an alternative procedure for treating the BBB were positive. However, long-term outcomes, particularly the infant's development, should be monitored., Competing Interests: There are no conflicts of interest., (Copyright: © 2023 Surgical Neurology International.)

Published
2023
Full Text
View/download PDF

2. Decompressive craniectomy bone flap hinged on the temporalis muscle: A new inexpensive use for an old neurosurgical technique.

Author

Adeleye, A. Olufemi and Azeez, A. Luqman

Abstract

Background: The neurosurgical procedure of hinge decompressive craniectomy (hDC), or hinge craniotomy (HC), as described from units in the advanced countries makes use of metallic implants, usually titanium plates and screws, which may not be economically viable in resource-limited practice settings. Methods: We describe our surgical techniques for performing this same procedure of hDC in a developing country using the patient’s own temporalis muscle instead of any other potentially costly implants. Results: The technique as described appears to be successful in achieving intracranial decompression in cases of traumatic brain swelling in which it has been used. Clinical and radiological illustrations of the feasibility, and practical utility, of the procedures in four clinical scenarios of traumatic brain injury are presented. Like all other techniques of HC, this “new” surgical technique of hDC temporalis saves the survivors the added imperative of future cranioplasty of the usual postcraniectomy skull defect. Unlike the others, the procedure eliminates the added cost of the metallic implants needed to perform the former techniques. Conclusions: The procedure of hDC temporalis appears to be a viable option for performing the surgical procedure of HC and has added cost-cutting economic benefits for resource-limited practice settings. [ABSTRACT FROM AUTHOR]

Published
2011
Full Text
View/download PDF

3. Decompressive craniectomy bone flap hinged on the temporalis muscle: A new inexpensive use for an old neurosurgical technique

Author

AOlufemi Adeleye and ALuqman Azeez

Subjects
medicine.medical_specialty, Bone flap, hinge craniotomy, temporalis muscle, Traumatic brain injury, business.industry, medicine.medical_treatment, Fundamental Neurosurgery, traumatic brain injury, Nigeria, Skull defect, developing countries, Temporalis muscle, Decompressive craniectomy, medicine.disease, Cranioplasty, Neurosurgical Procedure, Surgery, hinge decompressive craniectomy, medicine, Neurology (clinical), business, Craniotomy
Abstract

BACKGROUND: The neurosurgical procedure of hinge decompressive craniectomy (hDC), or hinge craniotomy (HC), as described from units in the advanced countries makes use of metallic implants, usually titanium plates and screws, which may not be economically viable in resource-limited practice settings. METHODS: We describe our surgical techniques for performing this same procedure of hDC in a developing country using the patient's own temporalis muscle instead of any other potentially costly implants. RESULTS: The technique as described appears to be successful in achieving intracranial decompression in cases of traumatic brain swelling in which it has been used. Clinical and radiological illustrations of the feasibility, and practical utility, of the procedures in four clinical scenarios of traumatic brain injury are presented. Like all other techniques of HC, this new surgical technique of hDC temporalis saves the survivors the added imperative of future cranioplasty of the usual postcraniectomy skull defect. Unlike the others, the procedure eliminates the added cost of the metallic implants needed to perform the former techniques. CONCLUSIONS: The procedure of hDC temporalis appears to be a viable option for performing the surgical procedure of HC and has added cost-cutting economic benefits for resource-limited practice settings.

Published
2011

Catalog

Books, media, physical & digital resources
See catalog results