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Masoudi, Mohammad Sadegh, Zoghi, Sina, Habibzadeh, Adrina, Taheri, Reza, Ansari, Ali. (1402). A Novel Skin Incision for Posterior Fossa Midline and Paramedian Lesions; A Technical Note and Case Series. سامانه مدیریت نشریات علمی, (), -. doi: 10.30476/beat.2023.100324.1465
Mohammad Sadegh Masoudi; Sina Zoghi; Adrina Habibzadeh; Reza Taheri; Ali Ansari. "A Novel Skin Incision for Posterior Fossa Midline and Paramedian Lesions; A Technical Note and Case Series". سامانه مدیریت نشریات علمی, , , 1402, -. doi: 10.30476/beat.2023.100324.1465
Masoudi, Mohammad Sadegh, Zoghi, Sina, Habibzadeh, Adrina, Taheri, Reza, Ansari, Ali. (1402). 'A Novel Skin Incision for Posterior Fossa Midline and Paramedian Lesions; A Technical Note and Case Series', سامانه مدیریت نشریات علمی, (), pp. -. doi: 10.30476/beat.2023.100324.1465
Masoudi, Mohammad Sadegh, Zoghi, Sina, Habibzadeh, Adrina, Taheri, Reza, Ansari, Ali. A Novel Skin Incision for Posterior Fossa Midline and Paramedian Lesions; A Technical Note and Case Series. سامانه مدیریت نشریات علمی, 1402; (): -. doi: 10.30476/beat.2023.100324.1465

A Novel Skin Incision for Posterior Fossa Midline and Paramedian Lesions; A Technical Note and Case Series

Bulletin of Emergency And Trauma
مقالات آماده انتشار، پذیرفته شده، انتشار آنلاین از تاریخ 08 آبان 1402    اصل مقاله (957.08 K)
نوع مقاله: Case Report
شناسه دیجیتال (DOI): 10.30476/beat.2023.100324.1465
نویسندگان
Mohammad Sadegh Masoudi1؛ Sina Zoghi1؛ Adrina Habibzadeh1؛ Reza Taheri1؛ Ali Ansari* 2
1Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran
2Department of Neurosurgery, shiraz university of medical science, Shiraz, Iran
چکیده
Approaching posterior fossa pathologies is fairly challenging. Poor exposure, Cerebrospinal Fluid (CSF) leak following surgery, post-operative suboccipital and neck pain, and wound healing are common challenges following traditional suboccipital midline incision. Herein, we present a new incision for approaching posterior fossa pathologies. The incision is shaped like a question mark and makes a musculofascial flap supplied by occipital artery on top of providing a wide area for craniotomy. In our technique, the dura is also incised in a question mark shaped manner. Three patients with masses in posterior fossa were operated with the new incision. Following surgeries, there were no adverse events including CSF leak, wound complications, severe suboccipital pain and neck instability in any of the patients. This new incision not only facilitates approaching to pathologies in posterior fossa with providing wider exposure, but also enables us for watertight Dural closure which decreases CSF leak. Also, as the muscular incision provides a sufficient area for craniotomy, muscular retraction can be minimized to avoid post-operative pain. Moreover, as opposed to the midline avascular incision, the flap is well supplied by occipital artery which facilitates the healing procedure.
کلیدواژه‌ها
Suboccipital craniotomy؛ posterior fossa؛ skin incision؛ muscular incision؛ musculofascial flap
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