@article{article_1746939, title={Intraoperative Ultrasonography in Small Craniotomy, Balloon Technique: Technical Note}, journal={Archives of Current Medical Research}, volume={7}, pages={486–489}, year={2026}, DOI={10.47482/acmr.1746939}, url={https://izlik.org/JA96HJ57GD}, author={Özmarasalı, Ali İmran and Baykal, Duygu and Çetiner, Mehmet Ziya}, keywords={Küçük Kraniyotomi, Akıllı Çözümler, İntrakraniyal Tümör Eksizyonu, İntraoperatif USG}, abstract={Intraoperative ultrasonography (IoUSG) is an essential real-time imaging tool in neurosurgical practice. However, a physical mismatch between standard probe dimensions and narrow craniotomy windows often hinders its effectiveness. We present a practical and cost-effective "balloon technique" using a saline-filled sterile surgical glove to establish an acoustic bridge. A 61-year-old male with a metastatic brain lesion in the right frontal region underwent a 3x3.5 cm crani-otomy, where a standard 4 cm wide probe exceeded the bone margins. By utilizing a saline-filled interface, we successful-ly achieved high-resolution visualization and total resection without enlarging the craniotomy. This technique provides real-time feedback and brain-shift compensation while maintaining the principles of minimally invasive surgery, offering a superior alternative to costly and time-consuming intraoperative imaging modalities.}, number={2}, organization={None}