gms | German Medical Science

59. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
3. Joint Meeting mit der Italienischen Gesellschaft für Neurochirurgie (SINch)

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

01. - 04.06.2008, Würzburg

Craniotomies with no burr-holes using the Anspach Control Depth Attachment® drill

Meeting Abstract

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  • corresponding author F. DiMeco - Department of Neurological Surgery, Fondazione Istituto Neurologico C.Besta, Milan, Italy
  • C. Casali - Department of Neurological Surgery, Fondazione Istituto Neurologico C.Besta, Milan, Italy
  • F. Legnani - Department of Neurological Surgery, Fondazione Istituto Neurologico C.Besta, Milan, Italy
  • C. L. Solero - Department of Neurological Surgery, Fondazione Istituto Neurologico C.Besta, Milan, Italy

Deutsche Gesellschaft für Neurochirurgie. Società Italiana di Neurochirurgia. 59. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), 3. Joint Meeting mit der Italienischen Gesellschaft für Neurochirurgie (SINch). Würzburg, 01.-04.06.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. DocDI.09.01

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dgnc2008/08dgnc204.shtml

Veröffentlicht: 30. Mai 2008

© 2008 DiMeco et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective: The object of this study is to describe a new method for performing supra- and infratentorial craniotomies which obviates the need for burr holes, improves bony reconstruction, and reduces post-operative cosmetic deformities. Moreover, this technique provides excellent exposure of skull base structures and dural venous sinuses.

Methods: Craniotomies in varied locations are created with the use of the Anspach Control Depth Attachment drill and chisel. No burr holes are used.

Results: We have performed over 500 craniotomies of any size and shape in all supratentorial and infratentorial locations. We have never experienced any major complications such as brain damage. The rate of dural laceration was 0.7 and not higher when compared to standard technique. Our method creates better cosmetic results than standard techniques and is safer for craniotomies spanning dural venous sinuses. Operating time was significantly reduced and reconstruction with plates and screws was not needed.

Conclusions: We have developed a new technique for performing craniotomies without burr holes which is extremely versatile and compares favorably to standard techniques such as the use of craniotome in terms of safety, cosmetic results, and cost.