Placement of silicone sheeting at decompressive craniectomy to prevent adhesions at cranioplasty.
Adhesion formation between dura mater and cortex, and the overlying temporalis muscle and galea following decompressive craniectomy, can make subsequent cranioplasty difficult and adds to the risks of the procedure. We describe the implantation of sterile silicone sheeting at decompressive craniectomy to prevent adhesion formation and facilitate subsequent cranioplasty, potentially reducing surgical time, improving outcome and reducing risk.
Wessex Neurological Centre, Southampton General Hospital, Southampton, UK. dbulters@nhs.net
Diederik
D
Bulters
Antonio
A
Belli
D002493:Central Nervous System Diseases / Q000517:prevention & control*; D002540:Cerebral Cortex; D056424:Decompressive Craniectomy / Q000379:methods*; D004388:Dura Mater; D017048:Health Care Costs; D006801:Humans; D009135:Muscular Diseases / Q000517:prevention & control*; D011183:Postoperative Complications / Q000517:prevention & control*; D012828:Silicones / Q000627:therapeutic use*; D013703:Temporal Muscle; D000267:Tissue Adhesions / Q000517:prevention & control; D016896:Treatment Outcome
D012828:Silicones