Journal of the Korean Society of Stereotactic and Functional Neurosurgery 2011;7(1):59-62.
Published online June 30, 2011.
DBS Lead Anchoring : Skull Outer Table Drilling & Cap use Method
Jae Won Jeong, Moo Seong Kim, Sung Tae Kim, Kun Soo Lee, Sung Hwa Paeng, Se Young Pyo, Young Gyun Jeong, Yong Tae Jung, Hae Woong Jeong, Sang Jin Kim
Department of Neurosurgery, Diagnostic Radiology, Neurology, College of Medicine, Inje University, Busan Paik Hospital, Busan, Korea
To implant the DBS lead, while considering burr hole placement, place a 14mm diameter burr hole in the desired location. To anchor the lead, use the burr hole cap and ring packaged with the lead. In the usual anchoring method, the cap area showed as a bulge. From a cosmetic point of view for DBS operative women, the appearance of this bulge was not acceptable. Material and Methods: We performed 288 DBS operations over the last 10 years. Of those operations 60 utilized outer table drilling and burr hole cap stabilization.
All patients showed no elevated the burr hole cap sites. No individuals complained of operation site pain.
For women or bald-headed individual, skull outer table drilling and cap stabilization is a very effective method for DBS lead fixation.
Key Words: DBS, Outer table, Burr hole.
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