One-step tunneling of DBS extensions-a technical note

• Type: Article in International Scientific Journal
• Date: 2013

Authors

Linhares, P (Author) FMUP; Carvalho, B (Author) Other; Vaz, R (Author) Other

Journal

Title: Acta Neurochirurgica

Vol. 155

Pages: 837-840

ISSN: 0001-6268

Publisher: Springer Nature

Indexing

ISI Web of Knowledge - 8 Citations

Scopus - 10 Citations

Other information

Authenticus ID: P-005-19R

DOI: 10.1007/s00701-013-1667-3

Abstract (EN): Infection constitutes a serious adverse event in deep brain stimulation (DBS) surgery, being responsible for difficult therapeutic decisions that may ultimately involve the removal of implanted material. Some cases begin with skin erosion and wound dehiscence of the retroauricular incision, which is one of the most fragile points. Several techniques of rotation flaps and skin reconstruction, as well as prolonged antibiotic regimens, have been proposed as therapeutic options. To prevent the onset of this complication, the authors propose a one-step tunneling technique of DBS extensions, avoiding the opening of the retroauricular space. We describe a surgical technique of a one-step tunneling of DBS extensions in 20 patients submitted to subthalamic DBS for Parkinson's disease, avoiding the opening of the retroauricular space. After implantation of the extensions using this technique, we had no erosions of the retroauricular skin, with a consequent reduction in the number of infections. The authors describe an easy surgical technique that allows reduction of wound and erosion complications, with great benefits for DBS patients.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 4