Application of T-shaped incision in craniotomy for patients with complicated traumatic brain injury
DUAN Jixin
SHI Lei
ZHONG Zhijun
YU Hanchang
LIU Yuan
HAN Ling
WANG Cheng
WU Yun
Abstract：To investigate the outcomes and indications of craniotomy with T-shaped incision in the patients with complicated traumatic brain injury (CTBI). Methods The clinical data of 42 patients with CTBI, who underwent craniotomy with T-shaped incision from August, 2016 to March, 2018, were analyzed retrospectively. All the patients underwent emergency craniotomy under general anesthesia. Of 42 patients, 15 underwent bilateral T-shaped incisions craniotomy according to the gradient decompression and bilateral control technology and 27 unilateral T-shaped incisions craniotomy according the gradient decompression. Results Of 42 patients, 11 (26.2%) were recovered well, 15 (35.7%) medially disabled, 2 (4.8%) severely disabled, 6 (14.3%) vegetatively survived, and 8 (19%) died according to GOS score 3 months after the operation. Conclusion The T-shaped incision had certain advantages in the patients with CTBI, especially in the patients with progressive CTBI or needing bilateral craniotomy because it may solve the problem of incision design of craniotomy for the complex traumatic intracranial hematomas.
Keywords：Complicated traumatic brain injuryMultiple intracranial hematomaBilateral craniotomyT-shaped incision
Publication Date：2019-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 535-536 )