Craniotomy vs. craniectomy for posterior fossa tumors: a prospective study to evaluate complications after surgery
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CLINICAL ARTICLE - BRAIN TUMORS
Craniotomy vs. craniectomy for posterior fossa tumors: a prospective study to evaluate complications after surgery Federico G. Legnani & Andrea Saladino & Cecilia Casali & Ignazio G. Vetrano & Marco Varisco & Luca Mattei & Francesco Prada & Alessandro Perin & Antonella Mangraviti & Carlo L. Solero & Francesco DiMeco
Received: 20 February 2013 / Accepted: 6 September 2013 / Published online: 29 September 2013 # Springer-Verlag Wien 2013
Abstract Background Posterior fossa surgery traditionally implies permanent bone removal. Although suboccipital craniectomy offers an excellent exposure, it could lead to complications. Thus, some authors proposed craniotomy as a valuable alternative to craniectomy. In the present study we compare postoperative complications after craniotomy or craniectomy for posterior fossa surgery. Methods We prospectively collected data for a consecutive series of patients who underwent either posterior fossa craniotomy or craniectomy for tumor resection. We divided patients into two groups based on the surgical procedure performed and safety, complication rates and length of hospitalization were analyzed. Craniotomies were performed with Control-Depth-Attachment® drill and chisel, while we did craniectomies with perforator and rongeurs. Results One-hundred-fifty-two patients were included in the study (craniotomy n =100, craniectomy n =52). We detected no dural damage after bone removal in both groups. The total We presented this work as an e-poster at the annual meeting of the European Association of Neurosurgical Societies (EANS) Bratislava October 24–27 2012. Federico G. Legnani and Andrea Saladino equally contributed in all aspects of this study. F. G. Legnani : A. Saladino : C. Casali : M. Varisco : L. Mattei : F. Prada : A. Perin : A. Mangraviti : C. L. Solero : F. DiMeco (*) Department of Neurosurgery, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via G. Celoria 11, 20133 Milan, Italy e-mail: [email protected]
complication rate related to the technique itself was 7 % for the craniotomy group and 32.6 % for the craniectomy group (
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