title: Addition of Resection of Temporal Muscle and Fascia in Decompressive Craniectomy in the Treatment of Traumatic Brain Injury.
abstract: OBJECTIVE
  Decompressive craniectomy (DC) is a widely used surgical procedure for control of severely increased intracranial pressure in various conditions. The goal of this study is to evaluate the effectiveness of the addition of resection of temporalis muscle and fascia in DC particularly in the treatment of traumatic brain injury.
  
  
  METHODS
  Twenty patients underwent temporalis muscle and fascia resection in addition to conventional DC and duroplasty due to massive brain swelling in a single tertiary hospital from 2013 to 2015 were enrolled. Twenty other patients who received the standard techniques by other neurosurgeons in the same period were gathered for the control group. Postoperative computed tomography (CT) as well as functional outcome in both groups were analyzed retrospectively.
  
  
  RESULTS
  CT volumetry showed a significant increase of 85.19 mL (p<0.001) of extracranial herniation volume in the research group compared with the control group. Using modified Rankin Scale and Glasgow Outcome Scale, there was no statistically significant difference in functional outcome between the two groups.
  
  
  CONCLUSIONS
  Although preliminary, the procedure appears to show a meaningful increase in extracranial herniation volume with minimal masticatory and cosmetic impairment.
authors.affiliation: Department of Neurosurgery and Medical Research Institute, Pusan National University Hospital, Busan, Korea.
authors.forename: Seung Han
authors.initials: SH
authors.lastname: Yu
authors.affiliation: Department of Neurosurgery and Medical Research Institute, Pusan National University Hospital, Busan, Korea.
authors.forename: Byung Chul
authors.initials: BC
authors.lastname: Kim
authors.affiliation: Department of Neurosurgery and Medical Research Institute, Pusan National University Hospital, Busan, Korea.
authors.forename: Jae Young
authors.initials: JY
authors.lastname: Choi
authors.affiliation: Department of Neurosurgery and Medical Research Institute, Pusan National University Hospital, Busan, Korea.
authors.forename: Jae Il
authors.initials: JI
authors.lastname: Lee
authors.affiliation: Department of Neurosurgery and Medical Research Institute, Pusan National University Hospital, Busan, Korea.
authors.forename: Won Ho
authors.initials: WH
authors.lastname: Cho
authors.affiliation: Department of Neurosurgery and Medical Research Institute, Pusan National University Hospital, Busan, Korea.
authors.forename: Hyuk Jin
authors.initials: HJ
authors.lastname: Choi
keywords: Decompressive craniectomy; Temporal muscle; Traumatic brain injury