Abstract
Background
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).
Methods
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.
Results
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.
Conclusion
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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References
Bachmann CG, Trenkwalder C (2006) Body weight in patients with Parkinson’s disease. Mov Disord 21(11):1824–1830
Chen H, Zhang SM, Hernan MA, Willett WC, Ascherio A (2003) Weight loss in Parkinson’s disease. Ann Neurol 53(5):676–679
Constantoyannis C, Berk C, Honey CR, Mendez I, Brownstone RM (2005) Reducing hardware-related complications of deep brain stimulation. Can J Neurol Sci 32(2):194–200
Dowling J (2008) Deep brain stimulation: current and emerging indications. Mo Med 105(5):424–428
Eisner W, Wolf E, Sohm F, Primavesi F, Mueller J, Bauer R, Mair K, Fiegele T (2008) Infections in DBS patients (P117). Abstracts of the Proceedings of the XVIIIth Congress of the European Society for Stereotactic and Functional Neurosurgery (ESSFN) 5–8 October 2008, Rimini, Italy. Acta Neurochir (Wien) 150:1000–1001
Kouyialis AT, Boviatsis EJ, Ziaka DS, Sakas DE (2007) Use of a single semilinear incision in Deep Brain Stimulation for movement disorders. Acta Neurochir (Wien) 149(5):501–504, discussion
Lee L, Rahim S, Thomas J, Ng WH (2013) An S-shaped incision for the insertion of deep brain stimulators. Acta Neurochir (Wien) 155(9):1671–1674
Moore KL, Dalley AF, Agur AMR (2010) Clinicially oriented anatomy. Wolters Kluwer Health/Lippincott Williams and Wilkins, pp 644–648
Oh MY, Abosch A, Kim SH, Lang AE, Lozano AM (2002) Long-term hardware-related complications of deep brain stimulation. Neurosurgery 50(6):1268–1274
Park YS, Kang JH, Kim HY, Kang DW, Chang WS, Kim JP, Chang JW (2011) A combination procedure with double C-shaped skin incision and dual-floor burr hole method to prevent skin erosion on the scalp and reduce postoperative skin complications in deep brain stimulation. Stereotact Funct Neurosurg 89(3):178–184
Seery GE (2001) Scalp surgery: anatomic and biomechanical considerations. Dermatol Surg 27(9):827–834
Sixel-Doring F, Trenkwalder C, Kappus C, Hellwig D (2010) Skin complications in deep brain stimulation for Parkinson’s disease: Frequency, time course, and risk factors. Acta Neurochir (Wien) 152:195–200
Voges J, Waerzeggers Y, Maarouf M, Lehrke R, Koulousakis A, Lenartz D, Sturm V (2006) Deep-brain stimulation: long-term analysis of complications caused by hardware and surgery-experiences from a single centre. J Neurol Neurosurg Psychiatry 77(7):868–872
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Solmaz, B., Tatarlı, N., Ceylan, D. et al. A sine-wave-shaped skin incision for inserting deep-brain stimulators. Acta Neurochir 156, 1523–1525 (2014). https://doi.org/10.1007/s00701-014-2123-8
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DOI: https://doi.org/10.1007/s00701-014-2123-8