[Justification of bitemporal decompressive trepanation with duroplasty in severe closed craniocerebral injury]

In serious craniocerebral traumata in which the cerebral oedema cannot be controlled by conservative methods, the authors again recommend the performance of a bitemporal relieving trepanation reaching far in basal direction (adults 5 cm ø, children 4 cm ø). In case of closed traumata, the operation is started on the more affected side, in case of open injuries trepanation is first carried out on the other side. Detailed indications about the accompanying oedema treatment. The wide opened dura is covered with the temporalis fascia or with a free transplant.