Customizable rigid head fixation for infants: technical note

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Suhas Udayakumaran, Chiazor U Onyia

Abstract

The need and advantages of rigid fixation of the head in cranial surgeries are well documented (Berryhill et al., Otolaryngol Head Neck Surg 121:269-273, 1999). Head fixation for neurosurgical procedures in infants and in early years has been a challenge and is fraught with risk. Despite the fact that pediatric pins are designed, rigid head fixation involving direct application of pins to the head of infants and slightly older children is still generally not safe (Agrawal and Steinbok, Childs Nerv Syst 22:1473-1474, 2006). Yet, there are some surgeries in which some form of rigid fixation is required (Agrawal and Steinbok, Childs Nerv Syst 22:1473-1474, 2006). We describe a simple technique to achieve rigid fixation of the head in infants for neurosurgical procedures. This involves applying a head band made of Plaster of Paris (POP) around the head and then applying the fixation pins of the fixation frame directly on to the POP. We have used this technique of head fixation successfully for infants with no complications.

References

Oct 1, 1989·Neurosurgery·N Aoki, T Sakai
Sep 3, 1999·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·W E BerryhillS J Haines
Dec 8, 2004·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·S SgourosS McCallin
Oct 1, 2005·Pediatric Neurosurgery·D P MuzumdarA Goel
Oct 19, 2006·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Deepak Agrawal, Paul Steinbok
Mar 21, 2007·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·D P Muzumdar
Apr 24, 2007·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·D Cochrane

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Citations

Sep 12, 2018·Operative Neurosurgery·Ashok PillaiArjun Krishnadas

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