Decompressive craniotomy in split-technique (DCST) for TBI in infants: introducing a new surgical technique to prevent long-term complications.

IF 1.3 4区医学 Q4 CLINICAL NEUROLOGY

Child's Nervous System Pub Date : 2024-09-01 Epub Date: 2024-05-24 DOI:10.1007/s00381-024-06445-1

Sevgi Sarikaya-Seiwert, Ehab Shabo, Arndt-Hendrik Schievelkamp, Mark Born, Christian Wispel, Hannes Haberl

引用次数: 0

Abstract

Introduction: Decompressive craniectomy (DC) is rarely required in infants. These youngest patients are vulnerable to blood loss, and cranial reconstruction can be challenging due to skull growth and bone flap resorption. On the other hand, infants have thin and flexible bone and osteogenic potential. MATERIAL AND METHODS: We propose a new technique called DCST, which makes use of these unique aspects by achieving decompression using the circumstance of the thin and flexible bone. We describe the surgical technique and the follow-up course over a period of 13 months.

Results and conclusion: In our study, DCST achieved adequate decompression and no further repeated surgeries in accordance with decompressive craniectomy were needed afterwards.

Abstract Image

查看原文本刊更多论文

针对婴儿创伤性脑损伤的劈瓣减压开颅术（DCST）：引入新的手术技术以预防长期并发症。

导言：婴儿很少需要进行减压颅骨切除术（DC）。这些最年幼的患者很容易失血，而且由于头骨生长和骨瓣吸收，颅骨重建可能具有挑战性。另一方面，婴儿的骨骼薄而灵活，具有成骨潜能。材料与方法：我们提出了一种名为 DCST 的新技术，该技术利用这些独特的方面，通过薄而灵活的骨骼周缘实现减压。我们描述了手术技术和 13 个月的随访过程：在我们的研究中，DCST 实现了充分的减压，术后无需再重复进行减压开颅手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Child's Nervous System 医学-临床神经学

CiteScore

3.00

自引率

7.10%

发文量

322

审稿时长

3 months

期刊介绍： The journal has been expanded to encompass all aspects of pediatric neurosciences concerning the developmental and acquired abnormalities of the nervous system and its coverings, functional disorders, epilepsy, spasticity, basic and clinical neuro-oncology, rehabilitation and trauma. Global pediatric neurosurgery is an additional field of interest that will be considered for publication in the journal.