Article
Craniotomies with no burr-holes using the Anspach Control Depth Attachment® drill
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Published: | May 30, 2008 |
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Outline
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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.