title: A sine-wave-shaped skin incision for inserting deep-brain stimulators.
abstract: BACKGROUND
  The sine-wave-shaped skin incision is a technique that minimizes skin-related complications near burr hole caps after electrode placement for deep-brain stimulation (DBS).
  
  
  METHODS
  Between 2011 and 2013, 54 DBS electrodes were implanted in 27 consecutive patients with Parkinson's disease (PD), essential tremor, or dystonia. The sine-wave incision was used in 26 patients and conventional bilateral linear scalp incisions were used in one patient.
  
  
  RESULTS
  None of the patients whose operations involved sine-wave-shaped incisions developed hardware-linked complications such as skin infection or skin erosion. The one patient who underwent conventional bilateral linear scalp incisions developed a skin infection.
  
  
  CONCLUSIONS
  By preserving the vascular anatomy of the scalp and reducing skin tension at the wound site, the sine-wave-shaped incision promotes wound healing.
authors.affiliation: Department of Neurosurgery, Istanbul Education and Research Hospital, Istanbul, Turkey.
authors.forename: Bilgehan
authors.initials: B
authors.lastname: Solmaz
authors.forename: Necati
authors.initials: N
authors.lastname: Tatarli
authors.forename: Davut
authors.initials: D
authors.lastname: Ceylan
authors.forename: Yaşar
authors.initials: Y
authors.lastname: Bayri
authors.forename: M Ibrahim
authors.initials: MI
authors.lastname: Ziyal
authors.forename: Aşkin
authors.initials: A
authors.lastname: Şeker
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D046690:Deep Brain Stimulation; D004421:Dystonia / Q000601:surgery*; D004567:Electrodes, Implanted; D020329:Essential Tremor / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010300:Parkinson Disease / Q000601:surgery*; D012189:Retrospective Studies; D012535:Scalp / Q000601:surgery*; D014945:Wound Healing / Q000502:physiology*