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Basal Cisternostomy for Severe TBI: Surgical Technique and Cadaveric Dissection
L Giammattei1, D Starnoni1, M Messerer1,2
1Department of Neurosurgery, Lausanne University Hospital, Lausanne, Switzerland.
Frontiers in Surgery
|May 23, 2022
Summary
Cisternostomy, a novel surgical approach for severe brain trauma, is detailed. This technique, involving specific craniotomy and drilling, is shown to be safe and effective for neurosurgeons.
Area of Science:
- Neurosurgery
- Trauma Surgery
Background:
- Severe brain trauma necessitates advanced surgical interventions.
- Cisternostomy is an emerging technique for managing complex brain injuries.
Purpose of the Study:
- To present the detailed surgical technique of basal cisternostomy as performed in the institution.
- To illustrate the microsurgical anatomy relevant to basal cisternostomy.
Main Methods:
- Anatomical dissection of an adult cadaveric head.
- Performance of a right fronto-temporo-parietal craniotomy.
- Extradural sphenoidal drilling to the superior orbital fissure.
Main Results:
- A step-by-step description of the basal cisternostomy surgical technique was developed.
- Cadaveric and intraoperative images were used to enrich the technique description.
Conclusions:
- Basal cisternostomy is a promising surgical technique for severe brain trauma.
- The procedure does not inherently require overly complex maneuvers.
- Trained neurosurgeons can safely incorporate this technique into their practice.
