J Neurol Surg B Skull Base 2018; 79(05): 508-514
DOI: 10.1055/s-0038-1625976
Original Article
Georg Thieme Verlag KG Stuttgart · New York

A Multilayered Technique for Repair of the Suboccipital Retrosigmoid Craniotomy

Amir Goodarzi
1   Department of Neurological Surgery, University of California, Davis School of Medicine, Sacramento, California, United States
,
Arjang Ahmadpour
1   Department of Neurological Surgery, University of California, Davis School of Medicine, Sacramento, California, United States
,
Atrin Toussi
1   Department of Neurological Surgery, University of California, Davis School of Medicine, Sacramento, California, United States
,
Kiarash Shahlaie
1   Department of Neurological Surgery, University of California, Davis School of Medicine, Sacramento, California, United States
› Institutsangaben
Weitere Informationen

Publikationsverlauf

08. September 2017

02. Dezember 2017

Publikationsdatum:
26. Februar 2018 (online)

Abstract

Objective Our primary objective was to retrospectively review our single institution experience using an anatomic multilayered repair of the retrosigmoid suboccipital craniotomy. Our secondary objective was to review the existing body of literature on the repair of this craniotomy and compare our outcomes to previous results.

Design Retrospective review of 25 consecutive patients undergoing repair for the retrosigmoid craniotomy.

Setting University of California Davis Medical Center (2010–2016).

Participants A total of 25 consecutive patients who underwent retrosigmoid craniotomy and repair. Exclusion criteria included patients who were under the age of 18 years.

Main Outcome Measures Main outcomes included incidence of postoperative headache, cerebrospinal fluid leak, and wound infections.

Results Postoperative headache was reported in two patients in this series (8%). None of the patients in the series developed cerebrospinal fluid leak or wound infections. Mean follow-up period was 16 months.

Conclusion Our multilayered anatomic repair after retrosigmoid suboccipital craniotomy results in favorable clinical results and may help reduce the risks associated with this operation.

Note

The contents of this manuscript have been submitted for consideration as an electronic poster to the North American Skull Base Society conference to be held on February 14, 2018 in Coronado, California.


 
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