J Korean Neurosurg Soc.  2024 Jan;67(1):130-132. 10.3340/jkns.2023.0132.

“Island Hole” Dural Tenting Suture on the Temporal Craniotomy for the Prevention of Epidural Hemorrhage in the Surgical Treatment of Unruptured Intracranial Aneurysms

• Kim M
• Yang IC
• Kim BT

• KMID: 2550467
• DOI: http://doi.org/10.3340/jkns.2023.0132

Figure

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  Fig. 1. Schematic drawing of “island hole” dural tenting suture in the temporal base during frontotemporal craniotomy (A and B). A red colored line on the dura mater indicates the middle meningeal artery. A curve-linear dotted line indicates the dural incision.

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  Fig. 2. Step-by-step procedures of “island hole” dural tenting suture in a 43-year-old female patient. Frontotemporal craniotomy was performed to reveal the dura mater. An incision in the periphery protruding approximately 5×5 mm for fixation has been made, and a letter “T” means the temporal dura mater (A and B). A small hole has been made in the protruded bone (C). The dura mater and island were sutured using a 4-0 ETHICON silk (D and E). A lobulated middle cerebral artery bifurcation aneurysm has been exposed with a sufficient operative field (F).

Reference

References

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