New Technique for Decompressive Duraplasty Using Expanded Polytetrafluoroethylene Dura Substitute-Technical Note-

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  • MIYAKE Shigeru
    Department of Neurosurgery, Kobe University Graduate School of Medicine
  • FUJITA Atsushi
    Department of Neurosurgery, Kobe University Graduate School of Medicine
  • AIHARA Hideo
    Department of Neurosurgery, Kobe University Graduate School of Medicine
  • KOHMURA Eiji
    Department of Neurosurgery, Kobe University Graduate School of Medicine

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A new technique for decompressive craniectomy with duraplasty was developed for cases in which brain swelling was present at dural closure. Expanded polytetrafluoroethylene (ePTFE) membrane is placed under the dura, covering the brain surface, without the use of sutures. The dura is then loosely sutured. The procedure was used in 13 patients. No leakage of cerebrospinal fluid into the epidural space or signs of infection were observed. Sutureless insertion of an ePTFE membrane at external decompression may increase the ease of duraplasty, decrease operating time, and avoid injury to the brain resulting from suturing the dura. The technique might be especially useful in emergency cases.<br>

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