A sine-wave-shaped skin incision for inserting deep-brain stimulators

作者：Solmaz Bilgehan; Tatarli Necati; Ceylan Davut; Bayri Yasar; Ziyal M Ibrahim; Seker Askin^*

来源：Acta Neurochirurgica, 2014, 156(8): 1523-1525.

DOI：10.1007/s00701-014-2123-8

• Deep-brain stimulation
• Scalp incision
• Neurosurgery
• Surgical technique
• Wound healing

The sine-wave-shaped skin incision is a technique that minimizes skin-related complications near burr hole caps after electrode placement for deep-brain stimulation (DBS).
Between 2011 and 2013, 54 DBS electrodes were implanted in 27 consecutive patients with Parkinson's disease (PD), essential tremor, or dystonia. The sine-wave incision was used in 26 patients and conventional bilateral linear scalp incisions were used in one patient.
None of the patients whose operations involved sine-wave-shaped incisions developed hardware-linked complications such as skin infection or skin erosion. The one patient who underwent conventional bilateral linear scalp incisions developed a skin infection.
By preserving the vascular anatomy of the scalp and reducing skin tension at the wound site, the sine-wave-shaped incision promotes wound healing.

• 出版日期2014-8