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Updated: Jan 22, 2026
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A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
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Surgical Rescue Technique for Incomplete Burr Hole Using a Small Bone Piece and the Craniotome
Toru Yoshiura1, Kojiro Wada1, Kosuke Kumagai1
1Department of Neurosurgery, National Defense Medical College, Saitama, Japan.
World Neurosurgery
|June 28, 2019
Summary
A novel small bone piece technique effectively repairs incomplete burr holes during craniotomy in elderly patients. This method saves time and reduces complications compared to traditional approaches.
Area of Science:
- Neurosurgery
- Surgical Techniques
Background:
- Osteoporosis in elderly patients can lead to incomplete burr hole penetration during craniotomy.
- This complication increases procedure time and risks dural tearing.
Observation:
- A new method involves using a small bone piece to complete the burr hole.
- The technique utilizes a rongeur to harvest a bone piece and a craniotome to complete the hole.
Findings:
- The small bone piece method successfully repaired 10 out of 11 incomplete burr holes.
- No complications were reported in the successful cases.
Implications:
- This technique offers a safe, efficient, and reliable solution for managing incomplete burr holes.
- It minimizes bone deficit and operative time, improving patient outcomes in neurosurgery.
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