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Updated: Feb 16, 2026

Application of 3D Printing in the Construction of Burr Hole Ring for Deep Brain Stimulation Implants
Published on: September 7, 2019
Dual floor burr hole technique in deep brain stimulation: A retrospective study on 209 patients
Domenico Servello1, Christian Saleh1, Alberto R Bona1
1Department of Neurosurgery and Neurology, IRCCS Galeazzi Hospital, Milan, Italy.
Background:
Skin erosion/infections due to deep brain stimulation hardware are highly worrisome complications. They can lead to the removal of the entire deep brain stimulation device, and consequently hold the whole treatment in otherwise pharmacologically refractory patients. Several techniques have been used such as C-shape skin incision and dual floor burr hole or single passage of connecting cables to reduce the incidence of skin complications.
Methods:
In this paper, we describe our experience in 209 patients using a dual-floor burr hole technique to reduce skin adverse effects.
Conclusion:
The dual floor burr hole technique is a safe technique with a low incidence of skin erosions and complications.
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