Hinge/floating craniotomy as an alternative technique for cerebral decompression: a scoping review.

Brain Injuries, Traumatic / surgery Craniotomy / methods Decompression, Surgical / methods Humans Neurosurgical Procedures / methods Stroke / surgery Surgical Flaps
Decompressive craniectomy Neurosurgery Stroke Traumatic brain injury

Journal

Neurosurgical review
ISSN: 1437-2320
Titre abrégé: Neurosurg Rev
Pays: Germany
ID NLM: 7908181

Informations de publication

Date de publication:
Dec 2020
Historique:
received: 24 06 2019
accepted: 12 09 2019
revised: 20 08 2019
pubmed: 13 11 2019
medline: 1 5 2021
entrez: 13 11 2019
Statut: ppublish

Résumé

Hinge craniotomy (HC) is a technique that allows for a degree of decompression whilst retaining the bone flap in situ, in a 'floating' or 'hinged' fashion. This provides expansion potential for ensuing cerebral oedema whilst obviating the need for cranioplasty in the future. The exact indications, technique and outcomes of this procedure have yet to be determined, but it is likely that HC provides an alternative technique to decompressive craniectomy (DC) in certain contexts. The primary objective was to collate and describe the current evidence base for HC, including perioperative parameters, functional outcomes and complications. The secondary objective was to identify current nomenclature, operative technique and operative decision-making. A scoping review was performed in accordance with the PRISMA-ScR Checklist. Fifteen studies totalling 283 patients (mean age 45.1 and M:F 199:46) were included. There were 12 different terms for HC. The survival rate of the cohort was 74.6% (n = 211). Nine patients (3.2%) required subsequent formal DC. Six studies compared HC to DC following traumatic brain injury (TBI) and stroke, finding at least equivalent control of intracranial pressure (ICP). These studies also reported reduced rates of complications, including infection, in HC compared to DC. We have described the current evidence base of HC. There is no evidence of substantially worse outcomes compared to DC, although no randomised trials were identified. Eventually, a randomised trial will be useful to determine if HC should be offered as first-line treatment when indicated.

Identifiants

DOI: 10.1007/s10143-019-01180-7 PMID: 31712994 PMC: PMC7680327
pubmed: 31712994
doi: 10.1007/s10143-019-01180-7
pii: 10.1007/s10143-019-01180-7
pmc: PMC7680327
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1493-1507

Subventions

Organisme : Medical Research Council
ID : G0601025
Pays : United Kingdom

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Auteurs

Hugo Layard Horsfall (H)

Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital and University of Cambridge, Cambridge, UK.
NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK.

Midhun Mohan (M)

Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital and University of Cambridge, Cambridge, UK.
NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK.

B Indira Devi (BI)

NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK.
Department of Neurosurgery, National Institute for Mental Health and Neurosciences, Bangalore, India.

Amos O Adeleye (AO)

NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK.
Division of Neurological Surgery, Department of Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Department of Neurological Surgery, University College Hospital, Ibadan, Nigeria.

Dhaval P Shukla (DP)

NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK.
Department of Neurosurgery, National Institute for Mental Health and Neurosciences, Bangalore, India.

Dhananjaya Bhat (D)

NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK.
Department of Neurosurgery, National Institute for Mental Health and Neurosciences, Bangalore, India.

Mukhtar Khan (M)

NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK.
Department of Neurosurgery, North West General Hospital and Research Center, Peshawar, Pakistan.

David J Clark (DJ)

Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital and University of Cambridge, Cambridge, UK.
NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK.

Aswin Chari (A)

Department of Neurosurgery, Great Ormond Street Hospital, London, UK.
Institute of Child Health, University College London, London, UK.

Franco Servadei (F)

Department of Neurosurgery, Humanitas University and Research Hospital, Milan, Italy.

Tariq Khan (T)

NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK.
Department of Neurosurgery, North West General Hospital and Research Center, Peshawar, Pakistan.

Andres M Rubiano (AM)

NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK.
INUB/MEDITECH Research Group, El Bosque University, Bogota, Colombia.
MEDITECH Foundation, Clinical Research, Cali, Colombia.

Peter J Hutchinson (PJ)

Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital and University of Cambridge, Cambridge, UK.
NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK.

Angelos G Kolias (AG)

Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital and University of Cambridge, Cambridge, UK. angeloskolias@gmail.com.
NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK. angeloskolias@gmail.com.
ORCID: 0000-0003-3992-0587

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Classifications MeSH

Recherchemedicale.com › Plaies et blessures › Traumatismes du système nerveux › Traumatismes cranioencéphaliques › Lésions encéphaliques › Lésions traumatiques de l'encéphale › Hinge/floating craniotomy as an alternative...
Recherchemedicale.com › Procédures de chirurgie opératoire › Procédures de neurochirurgie › Craniotomie › Hinge/floating craniotomy as an alternative...
Recherchemedicale.com › Procédures de chirurgie opératoire › Décompression chirurgicale › Hinge/floating craniotomy as an alternative...
Recherchemedicale.com › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Hinge/floating craniotomy as an alternative...
Recherchemedicale.com › Procédures de chirurgie opératoire › Procédures de neurochirurgie › Hinge/floating craniotomy as an alternative...
Recherchemedicale.com › Maladies cardiovasculaires › Maladies vasculaires › Angiopathies intracrâniennes › Accident vasculaire cérébral › Hinge/floating craniotomy as an alternative...
Recherchemedicale.com › Équipement et fournitures › Reconstructions chirurgicales › Lambeaux chirurgicaux › Hinge/floating craniotomy as an alternative...