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

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dc.contributor.authorLayard Horsfall, Hugo
dc.contributor.authorMohan, Midhun
dc.contributor.authorBhagavatula, Indira Devi
dc.contributor.authorAdeleye, Amos Olufemi
dc.contributor.authorShukla, Dhaval
dc.contributor.authorBhat, Dhananjaya
dc.contributor.authorKhan, Mukhtar
dc.contributor.authorClark, David J.
dc.contributor.authorChari, Aswin
dc.contributor.authorServadei, Franco
dc.contributor.authorKhan, Tariq
dc.contributor.authorRubiano, Andrés M.
dc.contributor.authorHutchinson, Peter J.A.
dc.contributor.authorKolias, Angelos
dc.contributor.orcidRubiano, Andrés M. [0000-0001-8931-3254]
dc.date.accessioned2020-03-16T19:42:32Z
dc.date.available2020-03-16T19:42:32Z
dc.date.issued2019
dc.description.abstractenglishHinge 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.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1007/s10143-019-01180-7
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn1437-2320
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/2064
dc.language.isoeng
dc.publisherSpringer Naturespa
dc.publisher.journalJournal of periodontologyspa
dc.publisher.journalNeurosurgical Reviewspa
dc.relation.ispartofseriesNeurosurgical Review, 1437-2320, 2019, p. 1-15.spa
dc.relation.urihttps://link.springer.com/article/10.1007%2Fs10143-019-01180-7
dc.rightsAttribution-NoDerivatives 4.0 International*
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf409
dc.rights.creativecommons2019
dc.rights.localAcceso abiertospa
dc.rights.urihttps://creativecommons.org/licenses/by-nd/4.0/*
dc.subject.decsAccidente cerebrovascularspa
dc.subject.decsCraneotomíaspa
dc.subject.decsEdema encefálicospa
dc.subject.keywordsNeurosurgeryspa
dc.subject.keywordsDecompressive craniectomyspa
dc.subject.keywordsTraumatic brain injuryspa
dc.titleHinge/floating craniotomy as an alternative technique for cerebral decompression: a scoping reviewspa
dc.title.translatedHinge/floating craniotomy as an alternative technique for cerebral decompression: a scoping review
dc.typearticlespa
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localartículospa

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Layard Horsfall H., Mohan M., Devi B.I., Adeleye A.O., Shukla D.P., Bhat D., Khan M., Clark D.J., Chari A., Servadei F., Khan T., Rubiano A.M., Hutchinson P.J., Kolias A.G.,_2019.pdf
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