Management of the temporal muscle during cranioplasty: technical note

Journal of Neurosurgery. Pediatrics
Stephen Honeybul

Abstract

Over the past 2 decades there has been a resurgence of interest in the use of decompressive craniectomy in the management of neurological emergencies. While technically straightforward, the procedure is associated with a number of complications relating to the initial decompression and subsequent cranioplasty. One complication that has received relatively little attention relates to the management of the temporal muscle. Here, through an illustrative case, the author describes a novel method of minimizing dissection of the temporal muscle during a cranioplasty procedure. Rather than placing a synthetic material over the dura mater to prevent adhesions or dissecting the muscle off the dura, the dura was opened and reflected laterally, pedicled to the temporal muscle. The dural defect was closed with a dural substitute, and the bone flap was secured in a routine fashion. The temporal muscle was then secured in its anatomical position. At the 6-month follow-up, radiological and clinical examination confirmed the restoration of muscle volume with excellent cosmetic and functional results. Opening the dura on a temporal muscle pedicle does not represent a routine form of surgical reconstruction; however, the use of this technique ma...Continue Reading

References

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Dec 22, 2005·Clinical Neurology and Neurosurgery·Antonis VakisGeorge Kalostos
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Feb 12, 2013·Journal of Neurosurgery·Azeem O OladunjoyeKiarash Shahlaie

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Citations

Dec 20, 2017·Journal of Neurotrauma·Christian HenkerJuergen Piek
Feb 18, 2020·Frontiers in Neurology·Corrado IaccarinoAmos Olufemi Adeleye
Jun 24, 2021·Oral and Maxillofacial Surgery·Chinmaya DashSuma Rabab Ahmad

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