Comparison of the Surgical Approaches for Frontal Traumatic Intracerebral Hemorrhage
Purpose Recent developments in minimally invasive techniques have the potential to reduce surgical morbidity, promote patient recovery, accelerate surgical procedures, and thus improve cost-effectiveness in case management. In this study, we compared the treatment efficacy and results of supraorbita...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2019-06-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://www.jtraumainj.org/upload/pdf/jti-32-071.pdf |
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| author | Eun Sung Park Seong Keun Moon Ki Seong Eom |
| author_facet | Eun Sung Park Seong Keun Moon Ki Seong Eom |
| author_sort | Eun Sung Park |
| collection | DOAJ |
| description | Purpose Recent developments in minimally invasive techniques have the potential to reduce surgical morbidity, promote patient recovery, accelerate surgical procedures, and thus improve cost-effectiveness in case management. In this study, we compared the treatment efficacy and results of supraorbital keyhole approach (SOKA) with those of conventional unilateral frontal craniotomy (CUFC) for traumatic intracerebral hemorrhage (TICH) in the frontal lobe. Methods We analyzed the data of 38 patients who underwent CUFC (n=30) and SOKA (n=8) and retrospectively reviewed their medical records and radiological findings. Furthermore, we tried to identify the best surgical method for such lesions by including patients who underwent burr hole aspiration and drainage (BHAD) (n=9) under local anesthesia due to various circumstances. Results The difference in the initial Glasgow coma scale score, operative time, and length of hospitalization between the CUFC and SOKA were statistically significant. All radiological features between the two groups including associated skull fracture, amount of pre- and postoperative hematoma, percentage of complete hematoma removal, pre- and postoperative midline shifting of the hematoma, and development of postoperative delayed hematoma were not statistically significant. Our experience of 46 patients with TICH in the frontal lobe with any of the three different surgical methods including BHAD enabled us to obtain valuable findings. Conclusions Although it is difficult to insist that one particular approach is more useful than the other, we are confident that SOKA will have more advantages over CUFC in carefully selected patients with frontal TICH depending on the surgical experience of a neurosurgeon. |
| format | Article |
| id | doaj-art-514783aa04b446f999cbf8837d074282 |
| institution | Kabale University |
| issn | 1738-8767 2287-1683 |
| language | English |
| publishDate | 2019-06-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-514783aa04b446f999cbf8837d0742822025-01-06T01:15:47ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832019-06-01322717910.20408/jti.2019.002982Comparison of the Surgical Approaches for Frontal Traumatic Intracerebral HemorrhageEun Sung Park0Seong Keun Moon1Ki Seong Eom2Department of Neurosurgery, Wonkwang University Hospital, Iksan, KoreaDepartment of Neurosurgery, Wonkwang University Hospital, Iksan, KoreaDepartment of Neurosurgery, Wonkwang University Hospital, Iksan, KoreaPurpose Recent developments in minimally invasive techniques have the potential to reduce surgical morbidity, promote patient recovery, accelerate surgical procedures, and thus improve cost-effectiveness in case management. In this study, we compared the treatment efficacy and results of supraorbital keyhole approach (SOKA) with those of conventional unilateral frontal craniotomy (CUFC) for traumatic intracerebral hemorrhage (TICH) in the frontal lobe. Methods We analyzed the data of 38 patients who underwent CUFC (n=30) and SOKA (n=8) and retrospectively reviewed their medical records and radiological findings. Furthermore, we tried to identify the best surgical method for such lesions by including patients who underwent burr hole aspiration and drainage (BHAD) (n=9) under local anesthesia due to various circumstances. Results The difference in the initial Glasgow coma scale score, operative time, and length of hospitalization between the CUFC and SOKA were statistically significant. All radiological features between the two groups including associated skull fracture, amount of pre- and postoperative hematoma, percentage of complete hematoma removal, pre- and postoperative midline shifting of the hematoma, and development of postoperative delayed hematoma were not statistically significant. Our experience of 46 patients with TICH in the frontal lobe with any of the three different surgical methods including BHAD enabled us to obtain valuable findings. Conclusions Although it is difficult to insist that one particular approach is more useful than the other, we are confident that SOKA will have more advantages over CUFC in carefully selected patients with frontal TICH depending on the surgical experience of a neurosurgeon.http://www.jtraumainj.org/upload/pdf/jti-32-071.pdfminimally invasive techniquestraumatic intracerebral hemorrhagesupraorbital keyhole approachunilateral frontal craniotomyburr hole aspiration |
| spellingShingle | Eun Sung Park Seong Keun Moon Ki Seong Eom Comparison of the Surgical Approaches for Frontal Traumatic Intracerebral Hemorrhage Journal of Trauma and Injury minimally invasive techniques traumatic intracerebral hemorrhage supraorbital keyhole approach unilateral frontal craniotomy burr hole aspiration |
| title | Comparison of the Surgical Approaches for Frontal Traumatic Intracerebral Hemorrhage |
| title_full | Comparison of the Surgical Approaches for Frontal Traumatic Intracerebral Hemorrhage |
| title_fullStr | Comparison of the Surgical Approaches for Frontal Traumatic Intracerebral Hemorrhage |
| title_full_unstemmed | Comparison of the Surgical Approaches for Frontal Traumatic Intracerebral Hemorrhage |
| title_short | Comparison of the Surgical Approaches for Frontal Traumatic Intracerebral Hemorrhage |
| title_sort | comparison of the surgical approaches for frontal traumatic intracerebral hemorrhage |
| topic | minimally invasive techniques traumatic intracerebral hemorrhage supraorbital keyhole approach unilateral frontal craniotomy burr hole aspiration |
| url | http://www.jtraumainj.org/upload/pdf/jti-32-071.pdf |
| work_keys_str_mv | AT eunsungpark comparisonofthesurgicalapproachesforfrontaltraumaticintracerebralhemorrhage AT seongkeunmoon comparisonofthesurgicalapproachesforfrontaltraumaticintracerebralhemorrhage AT kiseongeom comparisonofthesurgicalapproachesforfrontaltraumaticintracerebralhemorrhage |