Tianyu Chen , Ping Xue , Min Wang , Huan Ye , Liang LV
{"title":"Surgical Efficacy Analysis of Traumatic Posterior Fossa Epidural Hematoma in Children","authors":"Tianyu Chen , Ping Xue , Min Wang , Huan Ye , Liang LV","doi":"10.1016/j.wneu.2024.11.037","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the treatment effect and prognosis of posterior fossa epidural hematoma in children by different surgical methods.</div></div><div><h3>Methods</h3><div>The clinical data of 41 children with traumatic posterior fossa epidural hematoma treated by surgery in the Department of Neurosurgery from June 2015 to October 2023 were retrospectively analyzed. Among them, 32 cases underwent minimally invasive skull trepanation and drainage and 9 cases underwent craniotomy and hematoma removal. The therapeutic effects and prognosis of the two surgical methods were analyzed.</div></div><div><h3>Results</h3><div>All the cases were successfully treated by operation. The operation time and intraoperative blood loss of the children who underwent minimally invasive skull trepanation and drainage were significantly reduced compared with those who underwent craniocerebral hematoma removal (<em>P</em> < 0.05), but there was no significant difference in the postoperative ventilator withdrawal time, hospitalization days, and postoperative complications between the two groups (<em>P</em> > 0.05). After 4 months to 2 years of follow-up, all the children recovered well, and no children died or became disabled after surgery.</div></div><div><h3>Conclusions</h3><div>The effect of minimally invasive skull trepanation and drainage in the treatment of posterior fossa epidural hematoma in children is similar to that of craniotomy hematoma removal, but the operation is simpler, less trauma, less intraoperative bleeding, and short operation time, which is worthy of clinical application.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"194 ","pages":"Article 123454"},"PeriodicalIF":1.9000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"World neurosurgery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1878875024018977","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective
To investigate the treatment effect and prognosis of posterior fossa epidural hematoma in children by different surgical methods.
Methods
The clinical data of 41 children with traumatic posterior fossa epidural hematoma treated by surgery in the Department of Neurosurgery from June 2015 to October 2023 were retrospectively analyzed. Among them, 32 cases underwent minimally invasive skull trepanation and drainage and 9 cases underwent craniotomy and hematoma removal. The therapeutic effects and prognosis of the two surgical methods were analyzed.
Results
All the cases were successfully treated by operation. The operation time and intraoperative blood loss of the children who underwent minimally invasive skull trepanation and drainage were significantly reduced compared with those who underwent craniocerebral hematoma removal (P < 0.05), but there was no significant difference in the postoperative ventilator withdrawal time, hospitalization days, and postoperative complications between the two groups (P > 0.05). After 4 months to 2 years of follow-up, all the children recovered well, and no children died or became disabled after surgery.
Conclusions
The effect of minimally invasive skull trepanation and drainage in the treatment of posterior fossa epidural hematoma in children is similar to that of craniotomy hematoma removal, but the operation is simpler, less trauma, less intraoperative bleeding, and short operation time, which is worthy of clinical application.
期刊介绍：
World Neurosurgery has an open access mirror journal World Neurosurgery: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review.
The journal''s mission is to:
-To provide a first-class international forum and a 2-way conduit for dialogue that is relevant to neurosurgeons and providers who care for neurosurgery patients. The categories of the exchanged information include clinical and basic science, as well as global information that provide social, political, educational, economic, cultural or societal insights and knowledge that are of significance and relevance to worldwide neurosurgery patient care.
-To act as a primary intellectual catalyst for the stimulation of creativity, the creation of new knowledge, and the enhancement of quality neurosurgical care worldwide.
-To provide a forum for communication that enriches the lives of all neurosurgeons and their colleagues; and, in so doing, enriches the lives of their patients.
Topics to be addressed in World Neurosurgery include: EDUCATION, ECONOMICS, RESEARCH, POLITICS, HISTORY, CULTURE, CLINICAL SCIENCE, LABORATORY SCIENCE, TECHNOLOGY, OPERATIVE TECHNIQUES, CLINICAL IMAGES, VIDEOS
京公网安备 11010802042870号
京ICP备2023020795号-1
分享
求助内容：
应助结果提醒方式：
扫码关注我们
