Improved surgical treatment of frontotemporal experience severe traumatic brain injury.docVIP

 PAGE \* MERGEFORMAT 8 Improved surgical treatment of frontotemporal experience severe traumatic brain injury [Keywords:] severe brain injury, frontotemporal, improved surgical techniques Frontotemporal severe head injury accounted for a higher proportion of traumatic brain injury due to heavy damage and high mortality, surgical treatment more difficult. In the past emphasis on surgical treatment of decompression under the temporalis muscle, postoperative more problems, since the author Since 2000, improved surgical treatment with frontotemporal 46 patients with severe traumatic brain injury, and achieved good results, are reported below. Materials and Methods 1. General Information The group of 46 patients, 38 males and 8 females, average age 38 years (18 to 48 years). According to GCS score 3 to 8 pm, closed head injury in 39 cases, 7 cases of open brain injury, combat injury 6 cases, 30 cases of car accident injury, fall injury in 8 cases, other causes of injury in 2 cases. bilateral mydriasis after injury in 6 patients, the side of the mydriasis in 15 patients. head CT scan: the side of the frontal and temporal lobe contusion, subdural hematoma with intracerebral hemorrhage in 32 patients, subdural hematoma, epidural with 2 cases, 6 cases of subdural hematoma, epidural hematoma associated with intracerebral hemorrhage in 6 cases. hematoma volume was 36 ~ 100 ml, midline structures are displaced. associated with 4 cases of lower extremity fractures, abdominal organ injury in 3 cases. 2. Surgical methods Question mark-shaped incision with modified Kelly [1], from the forehead hairline along the midline within the next 3 cm, curved back before the turn in the top nodular papillary muscle with direct access to the temporal edge of the hairline from ear marginal Guaixiang The zygomatic arch on the front of the tragus before 2 cm. Flip Flap periosteal stripping, scales from the Ministry of temporal bone drilling to open the window diameter of