Improving the aesthetic outcome with burr hole cover placement in chronic subdural hematoma evacuation-a retrospective pilot study

Acta neurochirurgica
Flavio VasellaCORRECT SCAR study group

Abstract

The aesthetic outcome after burr hole trepanation for the evacuation of chronic subdural hematomas (cSDH) is often unsatisfactory, as the bony skull defects may cause visible skin depressions. The purpose of this study was to evaluate the efficacy of burr hole cover placement to improve the aesthetic outcome. We reviewed consecutive patients treated by burr hole trepanation for cSDH with or without placement of burr hole covers by a single surgeon between October 2016 and May 2018. The clinical data, including complications, were derived from the institution's prospective patient registry. The primary endpoint was the aesthetic outcome, as perceived by patients on the aesthetic numeric analog (ANA) scale, assessed by means of a standardized telephone interview. Secondary endpoints were skin depression rates and wound pain, as well as complications. From n = 33, outcome evaluation was possible in n = 28 patients (n = 24 male; mean age of 70.4 ± 16.1 years) with uni- (n = 20) or bilateral cSDH (n = 8). A total of 14 burr hole covers were placed in 11 patients and compared to 50 burr holes that were not covered. Patient satisfaction with the aesthetic outcome was significantly better for covered burr holes (mean ANA 9.3 ± 0.74 vs....Continue Reading

References

Apr 13, 2005·Clinical Neurology and Neurosurgery·Miguel Gelabert-GonzálezRamón Martínez-Rumbo
Aug 30, 2011·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Wolfgang FunkHans Robert Metelmann
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Feb 24, 2016·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Marian C NeidertOliver Bozinov
Nov 15, 2017·Acta neurochirurgica·Martin N StienenLuca Regli
Jan 10, 2018·Acta neurochirurgica·Nicolai MaldanerMartin N Stienen

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Citations

Feb 7, 2020·Acta neurochirurgica·E EdlmannUNKNOWN International Collaborative Research Initiative on Chronic Subdural Haematoma (iCORIC) study group
Nov 2, 2019·Neurosurgical Focus·Julia VelzUNKNOWN CORRECT-SCAR study group

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