Title: Suboccipital craniotomy for posterior fossa lesions
Abstract: Objective To evaluate the application and effect of suboccipital craniotomy in the treatment for posterior fossa lesions.Methods Of 40 cases with posterior fossa lesions,suboccipital craniotomy and suboccipital craniectomy were performed in 25 and 15 cases,respectively.Three different approaches,including the suboccipital medial approach,the suboccipital middle hooked approach,and the suboccipital lateral hooked approach were chosen according to the location of the lesions.Results Postoperative CT showed well diaplasis of the replaced bone flaps in the craniotomy group.No complications such as CSF leakage or subcutaneous hydrocele occurred except intracranial infection in one case of craniotomy group.As for the craniectomy group,complications such as CSF leakage,subcutaneous hydrocele,and intracranial infection occurred in 1 case,2 cases and 1 case,respectively.Wound depression in different degree could be observed in the craniectomy group.Conclusion Bone flap replacement in suboccipital craniotomy can maintain the cranial anatomical integrity,avoid the disadvantages of psychological influence due to the skull defect,diminish the remnant cavity,and prevent the subcutaneous hydrocele.
Publication Year: 2009
Publication Date: 2009-01-01
Language: en
Type: article
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