Ventrikülostomide anatomi temelli navigasyon: Nazion-Koronal sütür arası mesafe ölçümü

Year 2014, Volume: 5 Issue: 3, - , 01.09.2014

Mevci Ozdemir Ayhan Comert Kevser Ozdemir Gokmen Kahilogullari Melih Bozkurt Agahan Unlu Hasan Caglar Ugur

https://doi.org/10.5799/ahinjs.01.2014.03.0421

Cited By: 1

Abstract

Amaç: Bu çalışmada nazion sınır olarak kullanılarak koronal sütür lokalizasyonu tespit edilmeye çalışılmıştır. Nazion-koronal sütür arası mesafe bildiğimiz kadarı ile Türk toplumunda ilk defa bu çalışma ile literatüre sunulmaktadır. Yöntemler: Bu çalışmada 30 kranium ve 30 frontal kemik kullanılmıştır. Her bir kafatasında mezuro yardımı ile nazal sütürden koronal sütüre olan mesafe ölçülmüştür. Sonuçlar: Nazal sütür-koronal sütür arası mesafe 12,2 cm (minimum 10,3-maksimum 13,5 cm) olarak tespit edildi. Tartışma: Nazion cilt üzerinden kolayca palpe edilebilen bir işaret noktasıdır. Naziondan 12 cm posteriorda orta hattan 3 cm lateralde yapılacak küçük bir cilt insizyonu ile drenaj noktası kolayca tespit edilebilir. Bu bilgi beyin cerrahları için her zaman kullanabilecekleri pratik bir bilgi olarak literatüre sunulmaktadır.

Keywords

Koronal sütür, eksternal ventriküler drenaj, hidrosefali, subaraknoid kanama, şant enfeksiyonu

Anatomy-Based navigation for ventriculostomy: Nasion-coronal suture distance measurement

Abstract

Objective: In this study we aimed to determine a landmark that can be measured through the skin with nasal mid-point (bregma) to coronal suture, and additionally an average value was calculated. We report, to our knowledge, the distance between the nasion-coronal sutures is reported for the first time in Turkish population. Methods: The study included 30 craniums and 30 frontal bones. Each skull from midline nasal suture to coronal suture curved up at the distance was measured with tape measure. Results: Mean values were determined. Nasal suture between coronal suture distance average 12,2 cm (min10,3 cm, up to 13,5 cm) were detected. Conclusion: Nasal suture is an easily palpable area through the skin. A small incision is carried down through skin to bone at the spot 12 cm back from the nasion 3 cm lateral to the midline for ventricular drainage operation. This data provide practical information for neurosurgeon and is available everywhere. J Clin Exp Invest 2014; 5 (3): 368-370

Keywords

Coronal suture, external ventricular drainage, hydrocephalus, subarachnoid hemorrhage, shunt infection

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