Coronal and sagittal cuts were obtained during parietal or temporal craniotomies, and axial and sagittal slices in the case of frontal masses. After brain tumour. La incidencia de infecciones de craneotomía está en torno al 5%, con un rango entre . 2) had undergone an operation involving nasal sinuses (frontal sinus). Spanish term or phrase: craneotomia bifronto-orbitaria The “frontal bone” is “A cranial bone consisting of a vertical portion corresponding to.

Author: Yokasa Voodookree
Country: Papua New Guinea
Language: English (Spanish)
Genre: Travel
Published (Last): 17 December 2006
Pages: 138
PDF File Size: 20.39 Mb
ePub File Size: 14.99 Mb
ISBN: 606-3-91339-812-4
Downloads: 46888
Price: Free* [*Free Regsitration Required]
Uploader: Dourg

I found lots of good references. Staphyloccocus spp were cultured in all patients. Link to citation list in Scopus.

Craneotomía guiada por ultrasonografía bidimensional para exéresis de tumor cerebral supratentorial

Participation craneotomiz free and the site has a strict confidentiality policy. They were able to clear the infection and save all but one bone flap. Regular antibiotic administration at anaesthesia induction seems to decrease the rate of craniotomy infection by half, both in the entire population and in low-risk subsets.

Have a nice day and greetings!!!!!!!!! Its use is mainly indicated in the removal of tumours located in, or close to, important anatomical and functional brain areas and to depict the presence of tumour rests after surgical removal of cerebral neoplasms.

Abordajes Supratentoriales by alexander maza gonzalez on Prezi

Doses for antibiotic irrigation were as follows: Preservation of bone flap after craniotomy infection. Auguste and McDermott have recently presented a case series of 12 patients in which successful salvage procedures for infected craniotomy bone flaps were performed using a continuous wash-in, wash-out indwelling antibiotic irrigation system, that needed close observation of the neurological status since obstruction of the outflow system could precipitate brain herniation.

It is usually referred to as a clinical setting consisting on wound swelling and erythema, purulent discharge through the skin, at least partial wound dehiscence, and general signs of infection like fever, anorexia or malaise Some authors consider indispensable autoclave sterilization of a frozen-preserved bone flap before reposition, a method that does not seem to increase the risk of infection or bone resorption The duration of surgeries ranged from 1h30′ to 5h30′, only two operations extending over 4 hours.


Administration of a single prophylactic dose of vancomycin was recommended in a large randomized trial on the basis of a significantly reduced bone flap infection rate 4.

Adequate cosmetic craneoomia, unprotected brain and disfiguring deformity until cranioplasty are controversial features following bone removal. Peer comments on this answer and responses from the answerer. It is recommended four anatomic reference points to perform a craniotomy in the pig: AB – The objective of this study was to determine the anatomic reference points to perform a craniotomy in pigs.

During the year we performed 2-D ultrasonographic localization studies in patients undergoing excision of subcortical supratentorial brain tumours whose nature was trontal proven. The patient’ s age, the individual surgeon or the number of operations per surgeon are still uncertain and debatable risk factors 3, No patient had received prior radiation therapy and only one had undergone surgery involving nasal sinuses.

Also, some degree of bone resorption can be ascertained in the x-ray films or CT scans in many cases, depending on the latency until the infection is diagnosed. Still, sound evidence on the efficacy of topic or locally administered antibiotics is lacking. The standard treatment for infected craniotomies is bone flap discarding and craaneotomia cranioplasty.

Although not a sterilizing method, hyperbaric oxygen treatment has been evaluated as a therapeutic method for infections after craniotomy or laminectomy. Auguste and McDermott have recently published in Journal of Neurosurgery a case frpntal of 12 patients in which salvage procedures for infected craniotomy bone flaps were performed 1.

J Neurosurg ; Bidimensional-ultrasound guided-craniotomy in the excision of supratentorial brain tumours. Other predictive risk factors include: Infections occurred in the caneotomia period from May to October Systemic intravenous antibiotic therapy was administered to all patients as well during 14 days.


Besides, there is a time interval in which the underlying brain is exposed to injury and the patient exhibits a somehow disfiguring deformity.

craneotomia bifronto-orbitaria

No reliable data is available on the influence of other possible factors such as prior comorbidity, medications used in common neuro-anaesthetic procedures, the type of incision lineal versus curved flaps or whether the scalp was shaved or not.

You will also have access to many other tools and opportunities designed for those who have language-related jobs or are passionate about them. To check gross anatomical structures we used a 3 MHz probe and then a 5 MHz sound to define the brain tumour characteristics. Organisms involved in craniotomy infections are common pathogens usually contaminating neurosurgical procedures or normal skin flora germs.


After discharge, patients were placed on oral antibiotics for several weeks and followed in the outpatient office until resolution of the infection and complete wound healing see Table 1 for details.

View forum View forum without registering on UserVoice. No residual tumour was detected at the end of the surgery except in two cases in which a tumoral rest was left due to the proximity of the lesion to eloquent cerebral areas. They used a continuous wash-in, wash-out indwelling antibiotic irrigation system through two subgaleal and epidural drains.

The study group was composed by 30 patients with ages comprised between 28 and 82 years. Br J Neurosurg ; The four anatomic points under evaluation were P1: Br J Neurosurg ; 4: