Efficacy of fully endoscopic surgery through trans-eyebrow keyhole approach for patients with traumatic frontal hematoma
WANG Can
ZHOU Long
CAI Qiang
CHEN Qian-xue
YU Jun-hua
Abstract：Objective To investigate the efficacy of fully endoscopic surgery through trans-eyebrow keyhole approach for patients with traumatic frontal hematoma.Methods The clinical data of 7 patients with traumatic frontal hematoma treated by fully endoscopic surgery through trans-eyebrow keyhole approach from January 2022 to December 2022 were retrospectively analyzed.Results The GCS score of 7 patients ranged from 6 to 13 points at admission,with an average of(10.4±2.7)points;the volume of hemotoma was 30～40 ml,with an average of(37.9±3.9)ml.The bone window size was about 2 cm×3 cm;the surgical time was 62～80 min,with an average of(70.3±6.1)min.At discharge,6 patients had a GCS score of 15,and 1 had a score of 13.After outpatient follow-up for 1 year,1 patient had a seizure 9 months after surgery,which was well controlled by oral levetiracetam.The other 6 patients had normal lives.Conclusions Fully endoscopic surgery through trans-eyebrow keyhole approach for patients with traumatic frontal hematoma has the advantages of minimally invasive,efficient,and convenient operation,but strict indications should be followed,and it is not suitable for patients with brain herniation.
Keywords：Traumatic brain injuryTraumatic frontal hematomaFully endoscopic surgeryTrans-eyebrow keyhole approachEfficacy
Publication Date：2024-03-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 148-150,180 )