The role of hair shaving in skull base surgery.
OBJECTIVE
We sought to evaluate surgical wound infection rates in patients undergoing skull base surgery without hair removal.


METHODS
We undertook a retrospective study of 175 skull base operations performed without hair removal. Anterior operations were conducted via the subcranial approach (n = 120) and lateral or posterior procedures via various approaches (n = 55). Wounds were examined daily during hospitalization and at routine outpatient follow-up (8 to 45 months) and classified according to the Center for Disease Control and Prevention guidelines.


RESULTS
The overall surgical wound infection rate was 1.1% (2 of 175): 0.8% (1 of 120) for anterior and 1.8% (1 of 55) for lateral or posterior procedures. It was similar for clean operations (lateral and posterior) and clean-contaminated (anterior) procedures and was less than or similar to the rates reported for skull base procedures with hair removal. No wound infection occurred among the infected (trauma, fungal infections, and brain abscess) patients.


CONCLUSIONS
Skull base surgery without hair removal is safe and not associated with increased risk of wound infection. The method may prevent additional psychologic stress, promote restoration of the patient's self-image, and accelerate his or her return to normal life.
Gil
Ziv
Z
Skull-Base Surgery Unit, Department of Otolaryngology-Head and Neck Surgery, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Israel. ziv@dot.co.il
Cohen
Jacob T
JT
Spektor
Sergei
S
Fliss
Dan M
DM
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006204:Hair Removal / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D007557:Israel; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods*; D011300:Preoperative Care; D012016:Reference Values; D012189:Retrospective Studies; D018570:Risk Assessment; D019291:Skull Base / Q000601:surgery*; D013315:Stress, Psychological / Q000517:prevention & control; D013530:Surgical Wound Infection / Q000453:epidemiology*; D016896:Treatment Outcome