A sine-wave-shaped skin incision for inserting deep-brain stimulators.

Solmaz, Bilgehan; Tatarli, Necati; Ceylan, Davut; Bayri, Yaşar; Ziyal, M Ibrahim; Şeker, Aşkin · Acta Neurochir (Wien) · 2014

case_series · Level IV

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Abstract

The sine-wave-shaped skin incision is a technique that minimizes skin-related complications near burr hole caps after electrode placement for deep-brain stimulation (DBS). Between 2011 and 2013, 54 DBS electrodes were implanted in 27 consecutive patients with Parkinson's disease (PD), essential tremor, or dystonia. The sine-wave incision was used in 26 patients and conventional bilateral linear scalp incisions were used in one patient. None of the patients whose operations involved sine-wave-shaped incisions developed hardware-linked complications such as skin infection or skin erosion. The one patient who underwent conventional bilateral linear scalp incisions developed a skin infection. By preserving the vascular anatomy of the scalp and reducing skin tension at the wound site, the sine-wave-shaped incision promotes wound healing.

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