Minimally invasive subpial tonsillectomy for Chiari I decompression.
Level V
Where this comes from
- Record sourced from PubMed, PMID 27379827.
- Also identified by DOI 10.1007/s00701-016-2877-2 and PMC identifier 4980444.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
A number of different surgical techniques have been used through the years to address Chiari I malformation (CMI). This article describes how we surgically manage CMI at two high-volume centers. We call the technique the minimally invasive subpial tonsillectomy (MIST). The technique consists of a minimalistic dissection and craniectomy with a short, linear durotomy for the subpial tonsillar resection. The dura is closed without the use of a duraplasty. We describe our current methods of surgery for CMI.
Medical subject headings
- Arnold-Chiari Malformation
- Decompressive Craniectomy
- Dura Mater
- Tonsillectomy