Published online Jan 14, 2022. doi: 10.12998/wjcc.v10.i2.477
Peer-review started: July 21, 2021
First decision: October 16, 2021
Revised: October 22, 2021
Accepted: December 10, 2021
Article in press: December 10, 2021
Published online: January 14, 2022
Traditional surgical treatment of the supra- and infratentorial acute epidural hematoma (SIEDH) requires a combined supra-infratentorial craniotomy.
To modify the surgery method according to the results of anatomical research.
To analyze the morphological characteristics of the squamous part of the occipital bone (SOB) and introduce a single supratentorial craniotomy for SIEDH.
Skull computed tomography scan data from 32 adult patients were collected. The angle of the SOB (ASOB) and the operative angle for the SIEDH (OAS) were measured and analyzed.
For males, the ASOB was 118.4 ± 4.7 and the OAS was 15.1 ± 1.8; for females, the ASOB was 130.4 ± 5.1 and the OAS was 12.8 ± 2.0. The smaller the ASOB was, the larger the OAS was. Based on the anatomical study, a single supratentorial craniotomy was performed in 8 patients with SIEDH, and the SIEDH was completely removed.
The single supratentorial craniotomy for SIEDH is reliable and effective.
It is hoped that the results of this study can improve the efficiency of surgical treatment of SIEDH.