Retroauricular arc-shaped skin flap for the treatment of massive cerebral infarction in the cerebral hemisphere:analysis of 28 cases
Zhao Yanfeng
Cai Jinquan
Sun Guiyin
Zhang Junhe
Abstract：Objective To explore the experience of using retroauricular arc-shaped skin flap to treat massive cerebral infarction in the cerebral hemisphere.Methods The clinical data of 28 patients with massive cerebral infarction,were analyzed retrospectively,all of whom were treated with the same surgeon using a retroauricular arc-shaped skin flap for decompressive craniectomy.The patients'incision healing,operation time,3-month postoperative survival rate and skull repair were recorded.Results Twenty-six incisions healed well,2 diabetic patients had delayed healing of scalp incisions.The operative time ranged from 50 to 150 minutes.Skull repair was performed in 15 patients within 3 months after surgery,while the remaining patients had no intention for repair.Follow-up at 3 months postoperatively revealed that 3 patients were fully self-sufficient in daily life,12 patients were partially self-sufficient with family assistance,and 11 patients were dependent on others for daily activities.Two patients died,resulting in a mortality rate of 7.14%.Conclusions The decompressive craniectomy with retroauricular arc-shaped skin flap is simple and more conducive to protecting the blood supply of the flap.It can be used as a preferred surgical method for massive cerebral infarction in the cerebral hemisphere.
Keywords：cerebral infarctionmassivedecompressive craniectomyretroauricular arc-shaped skin flap
Publication Date：2024-09-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 535-538 )