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J Korean Neurosurg Soc.  2019 Jul;62(4):382-388. 10.3340/jkns.2018.0130.

Biomechanical Properties of the Cranial Dura Mater with Puncture Defects: An In Vitro Study

Affiliations
  • 1Department of Neurosurgery, Kutahya Health Science University, Kutahya, Turkey.
  • 2Department of Neurosurgery, Dokuz Eylul University School of Medicine, Izmir, Turkey. ceren.kizmazoglu@gmail.com
  • 3Department of Biomechanics, Dokuz Eylul University School of Medicine Health Science Institute, Izmir, Turkey.
  • 4Department of Pathology, Forensic Medicine Institution , Izmir, Turkey.
  • 5Department of Neurosurgery, EskiÅŸehir Osmangazi University School of Medicine, Eskisehir, Turkey.

Abstract


OBJECTIVE
The primary aim of this investigation was to explore the nature of dura mater biomechanics following the introduction of puncture defect(s).
METHODS
Twenty-eight dura mater specimens were collected during autopsy from the department of forensic medicine of the authors' institution. Specimens were divided randomly into one of four groups : group I (cranial dura mater; n=7), group II (cranial dura mater with one puncture defect; n=7); group III (cranial dura mater with two puncture defects; n=7), and group IV (cranial dura mater with three puncture defects; n=7).
RESULTS
The mean±standard deviation tensile strengths of the dura mater were 8.35±3.16, 8.22±3.32, 7.13±1.77, and 6.94±1.93 MPa for groups I, II, III, and IV, respectively. There was no statistical difference between all groups. A single, two or more punctures of the dura mater using a 20-gauge Quincke needle did not affect cranial dura tensile strength.
CONCLUSION
This biomechanical study may contribute to the future development of artificial dura mater substitutes and medical needles that have a lower negative impact on the biomechanical properties of dura mater.

Keyword

Biomechanical phenomena; Dura mater; Tensile strength; Punctures; Needles

MeSH Terms

Autopsy
Biomechanical Phenomena
Dura Mater*
Forensic Medicine
In Vitro Techniques*
Needles
Punctures*
Tensile Strength
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