Scholarlink

Background <p>Decompressive craniectomy and subsequent cranioplasty are associated with significant morbidity (Kurland et al. Neurocrit Care 23:292–304, <CitationRef CitationID="CR4">2015</CitationRef>). Bone flap-preserving techniques, including floating and hinged craniotomies, offer effective intracranial pressure (ICP) control (Mohan et al. Acta Neurochir (Wien) 163(5):1415–1422, <CitationRef CitationID="CR5">2021</CitationRef>), although the optimal technique remains controversial, particularly in the context of traumatic brain injury where recent landmark trials have evaluated decompressive craniectomy outcomes (Patel et al. Trauma Surg Acute Care Open 10: e001784, <CitationRef CitationID="CR7">2025</CitationRef>).</p> Methods <p>The bone flap is loosely secured to the cranium using surgeon's knots and adjustable slip knots, with slip knot suture ends exteriorized through the scalp. Once elevated ICP resolves, the bone flap is definitively secured by tightening the externalized sutures.</p> Conclusion <p>This straightforward floating craniotomy technique provides controlled decompression, effective ICP management, and preserved cosmesis.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

A simple and aesthetically pleasing floating craniotomy: How I do it

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年3月8日

查看全文
  • Tianzun Li,
  • Qiumeng Li,
  • Ji Xia,
  • Yunpeng Dong,
  • Mingliang Ren

摘要

Background

Decompressive craniectomy and subsequent cranioplasty are associated with significant morbidity (Kurland et al. Neurocrit Care 23:292–304, 2015). Bone flap-preserving techniques, including floating and hinged craniotomies, offer effective intracranial pressure (ICP) control (Mohan et al. Acta Neurochir (Wien) 163(5):1415–1422, 2021), although the optimal technique remains controversial, particularly in the context of traumatic brain injury where recent landmark trials have evaluated decompressive craniectomy outcomes (Patel et al. Trauma Surg Acute Care Open 10: e001784, 2025).

Methods

The bone flap is loosely secured to the cranium using surgeon's knots and adjustable slip knots, with slip knot suture ends exteriorized through the scalp. Once elevated ICP resolves, the bone flap is definitively secured by tightening the externalized sutures.

Conclusion

This straightforward floating craniotomy technique provides controlled decompression, effective ICP management, and preserved cosmesis.