Addition of Resection of Temporal Muscle and Fascia in Decompressive Craniectomy in the Treatment of Traumatic Brain Injury.
10.13004/kjnt.2016.12.2.84
- Author:
Seung Han YU
1
;
Byung Chul KIM
;
Jae Young CHOI
;
Jae Il LEE
;
Won Ho CHO
;
Hyuk Jin CHOI
Author Information
1. Department of Neurosurgery and Medical Research Institute, Pusan National University Hospital, Busan, Korea. csfdiver@naver.com
- Publication Type:Original Article
- Keywords:
Traumatic brain injury;
Decompressive craniectomy;
Temporal muscle
- MeSH:
Brain Edema;
Brain Injuries*;
Decompressive Craniectomy*;
Fascia*;
Glasgow Outcome Scale;
Humans;
Intracranial Pressure;
Neurosurgeons;
Retrospective Studies;
Temporal Muscle*;
Tertiary Care Centers
- From:Korean Journal of Neurotrauma
2016;12(2):84-88
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: Decompressive craniectomy (DC) is a widely used surgical procedure for control of severely increased intracranial pressure in various conditions. The goal of this study is to evaluate the effectiveness of the addition of resection of temporalis muscle and fascia in DC particularly in the treatment of traumatic brain injury. METHODS: Twenty patients underwent temporalis muscle and fascia resection in addition to conventional DC and duroplasty due to massive brain swelling in a single tertiary hospital from 2013 to 2015 were enrolled. Twenty other patients who received the standard techniques by other neurosurgeons in the same period were gathered for the control group. Postoperative computed tomography (CT) as well as functional outcome in both groups were analyzed retrospectively. RESULTS: CT volumetry showed a significant increase of 85.19 mL (p<0.001) of extracranial herniation volume in the research group compared with the control group. Using modified Rankin Scale and Glasgow Outcome Scale, there was no statistically significant difference in functional outcome between the two groups. CONCLUSION: Although preliminary, the procedure appears to show a meaningful increase in extracranial herniation volume with minimal masticatory and cosmetic impairment.
