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A Groove Technique for Securing an Electrode Connector on the Cranial Bone: Case Analysis of Efficacy
OBJECTIVE: A groove technique for securing an electrode connector was described as an alternative surgical technique in deep brain stimulation (DBS) surgery to avoid electrode connector-related complications, such as skin erosion, infection, and migration. METHODS: We retrospectively reviewed 109 pa...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Neurosurgical Society
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4200360/ https://www.ncbi.nlm.nih.gov/pubmed/25328650 http://dx.doi.org/10.3340/jkns.2014.56.2.130 |
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author | Lee, Sung-Woo Lee, Myung-Ki Seo, Il Kim, Ho-Sang Kim, Jeong-Ho Kim, Yun-Suk |
author_facet | Lee, Sung-Woo Lee, Myung-Ki Seo, Il Kim, Ho-Sang Kim, Jeong-Ho Kim, Yun-Suk |
author_sort | Lee, Sung-Woo |
collection | PubMed |
description | OBJECTIVE: A groove technique for securing an electrode connector was described as an alternative surgical technique in deep brain stimulation (DBS) surgery to avoid electrode connector-related complications, such as skin erosion, infection, and migration. METHODS: We retrospectively reviewed 109 patients undergoing one of two techniques; the standard technique (52 patients using 104 electrodes) and the groove technique (57 patients using 109 electrodes) for securing the electrode connector in DBS surgery, regardless of patient disease. In the standard percutaneous tunneling technique, the connector was placed on the vertex of the cranial surface. The other technique, so called the groove technique, created a groove (about 4 cm long, 8 mm wide) in the cranial bone at the posterior parietal area. Wound erosion and migration related to the connectors were compared between the two techniques. RESULTS: The mean follow-up period was 73 months for the standard method and 46 months for the groove technique. Connector-related complications were observed in three patients with the groove technique and in seven patients with the standard technique. Wound erosion at the connector sites per electrode was one (0.9%) with the groove technique and six (5.8%) with the standard technique. This difference was statistically significant. The electrode connector was migrated in two patients with the groove technique and in one patient with the standard technique. CONCLUSIONS: The groove technique, which involves securing an electrode using a groove in the cranial bone at the posterior parietal area, offers an effective and safe method to avoid electrode connector-related complications during DBS surgery. |
format | Online Article Text |
id | pubmed-4200360 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | The Korean Neurosurgical Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-42003602014-10-17 A Groove Technique for Securing an Electrode Connector on the Cranial Bone: Case Analysis of Efficacy Lee, Sung-Woo Lee, Myung-Ki Seo, Il Kim, Ho-Sang Kim, Jeong-Ho Kim, Yun-Suk J Korean Neurosurg Soc Clinical Article OBJECTIVE: A groove technique for securing an electrode connector was described as an alternative surgical technique in deep brain stimulation (DBS) surgery to avoid electrode connector-related complications, such as skin erosion, infection, and migration. METHODS: We retrospectively reviewed 109 patients undergoing one of two techniques; the standard technique (52 patients using 104 electrodes) and the groove technique (57 patients using 109 electrodes) for securing the electrode connector in DBS surgery, regardless of patient disease. In the standard percutaneous tunneling technique, the connector was placed on the vertex of the cranial surface. The other technique, so called the groove technique, created a groove (about 4 cm long, 8 mm wide) in the cranial bone at the posterior parietal area. Wound erosion and migration related to the connectors were compared between the two techniques. RESULTS: The mean follow-up period was 73 months for the standard method and 46 months for the groove technique. Connector-related complications were observed in three patients with the groove technique and in seven patients with the standard technique. Wound erosion at the connector sites per electrode was one (0.9%) with the groove technique and six (5.8%) with the standard technique. This difference was statistically significant. The electrode connector was migrated in two patients with the groove technique and in one patient with the standard technique. CONCLUSIONS: The groove technique, which involves securing an electrode using a groove in the cranial bone at the posterior parietal area, offers an effective and safe method to avoid electrode connector-related complications during DBS surgery. The Korean Neurosurgical Society 2014-08 2014-08-31 /pmc/articles/PMC4200360/ /pubmed/25328650 http://dx.doi.org/10.3340/jkns.2014.56.2.130 Text en Copyright © 2014 The Korean Neurosurgical Society http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Article Lee, Sung-Woo Lee, Myung-Ki Seo, Il Kim, Ho-Sang Kim, Jeong-Ho Kim, Yun-Suk A Groove Technique for Securing an Electrode Connector on the Cranial Bone: Case Analysis of Efficacy |
title | A Groove Technique for Securing an Electrode Connector on the Cranial Bone: Case Analysis of Efficacy |
title_full | A Groove Technique for Securing an Electrode Connector on the Cranial Bone: Case Analysis of Efficacy |
title_fullStr | A Groove Technique for Securing an Electrode Connector on the Cranial Bone: Case Analysis of Efficacy |
title_full_unstemmed | A Groove Technique for Securing an Electrode Connector on the Cranial Bone: Case Analysis of Efficacy |
title_short | A Groove Technique for Securing an Electrode Connector on the Cranial Bone: Case Analysis of Efficacy |
title_sort | groove technique for securing an electrode connector on the cranial bone: case analysis of efficacy |
topic | Clinical Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4200360/ https://www.ncbi.nlm.nih.gov/pubmed/25328650 http://dx.doi.org/10.3340/jkns.2014.56.2.130 |
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