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A sine-wave-shaped skin incision for inserting deep-brain stimulators |
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| Authors: | Bilgehan Solmaz Necati Tatarlı Davut Ceylan Yaşar Bayri M. İbrahim Ziyal Aşkın Şeker |
| Affiliation: | 1. Department of Neurosurgery, Istanbul Education and Research Hospital, Istanbul, Turkey 2. Department of Neurosurgery, Dr.Lütfi K?rdar Kartal Education and Research Hospital, Istanbul, Turkey 3. Institute of Neurological Sciences, Marmara University, Marmara üniversitesi N?rolojik Bilimler Enstitüsü, P.K.53 Ba??büyük-Maltepe, 34840, ?stanbul, Turkey 4. Department of Neurosurgery, Sakarya University School of Medicine, Sakarya, Turkey 5. Department of Neurosurgery, Marmara University School of Medicine, Istanbul, Turkey |
| Abstract: | BackgroundThe 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).MethodsBetween 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.ResultsNone 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.ConclusionBy preserving the vascular anatomy of the scalp and reducing skin tension at the wound site, the sine-wave-shaped incision promotes wound healing. |
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