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Addition of Resection of Temporal Muscle and Fascia in Decompressive Craniectomy in the Treatment of Traumatic Brain Injury

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...

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Autores principales: Yu, Seung Han, Kim, Byung Chul, Choi, Jae Young, Lee, Jae Il, Cho, Won Ho, Choi, Hyuk Jin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Neurotraumatology Society 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5110924/
https://www.ncbi.nlm.nih.gov/pubmed/27857913
http://dx.doi.org/10.13004/kjnt.2016.12.2.84
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author Yu, Seung Han
Kim, Byung Chul
Choi, Jae Young
Lee, Jae Il
Cho, Won Ho
Choi, Hyuk Jin
author_facet Yu, Seung Han
Kim, Byung Chul
Choi, Jae Young
Lee, Jae Il
Cho, Won Ho
Choi, Hyuk Jin
author_sort Yu, Seung Han
collection PubMed
description 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.
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spelling pubmed-51109242016-11-17 Addition of Resection of Temporal Muscle and Fascia in Decompressive Craniectomy in the Treatment of Traumatic Brain Injury Yu, Seung Han Kim, Byung Chul Choi, Jae Young Lee, Jae Il Cho, Won Ho Choi, Hyuk Jin Korean J Neurotrauma Clinical Article 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. Korean Neurotraumatology Society 2016-10 2016-10-31 /pmc/articles/PMC5110924/ /pubmed/27857913 http://dx.doi.org/10.13004/kjnt.2016.12.2.84 Text en Copyright © 2016 Korean Neurotraumatology 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
Yu, Seung Han
Kim, Byung Chul
Choi, Jae Young
Lee, Jae Il
Cho, Won Ho
Choi, Hyuk Jin
Addition of Resection of Temporal Muscle and Fascia in Decompressive Craniectomy in the Treatment of Traumatic Brain Injury
title Addition of Resection of Temporal Muscle and Fascia in Decompressive Craniectomy in the Treatment of Traumatic Brain Injury
title_full Addition of Resection of Temporal Muscle and Fascia in Decompressive Craniectomy in the Treatment of Traumatic Brain Injury
title_fullStr Addition of Resection of Temporal Muscle and Fascia in Decompressive Craniectomy in the Treatment of Traumatic Brain Injury
title_full_unstemmed Addition of Resection of Temporal Muscle and Fascia in Decompressive Craniectomy in the Treatment of Traumatic Brain Injury
title_short Addition of Resection of Temporal Muscle and Fascia in Decompressive Craniectomy in the Treatment of Traumatic Brain Injury
title_sort addition of resection of temporal muscle and fascia in decompressive craniectomy in the treatment of traumatic brain injury
topic Clinical Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5110924/
https://www.ncbi.nlm.nih.gov/pubmed/27857913
http://dx.doi.org/10.13004/kjnt.2016.12.2.84
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