Frontal small craniostomy and irrigation for treatment of chronic subdural haematoma.
A new surgical method for the treatment of chronic subdural haematoma is presented. A small craniostomy is made on the superior lateral angle of the forehead just beneath the hair line without hair removal using a high-speed drill. Through this aperture, evacuation and irrigation of the haematoma can be carried out safely. No infections occurred in a series of patients treated in this way, and the recurrence rate was 10% (2/20). The surgical wound was negligible. Because of its simplicity, and the lack of a need for hair removal, the procedure appears to be acceptable as an optional therapeutic modality.
Yoshimoto
Y
Y
Neurosurgical Institute, Higashi Yokohama Hospital, Kanagawa, Japan.
Kwak
S
S
D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D003399:Craniotomy / Q000379:methods*; D005260:Female; D006408:Hematoma, Subdural / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D007507:Therapeutic Irrigation