Role of the “In-Window” Craniectomy in the Management of Serious Head Trauma: 12 Case Series, Technical Note, Literature Review, and Comparison With Other Surgical Managements
Hugues Bulteau, Philippe Poidevin, Marc Baroncini · 2026
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Description
Hugues Bulteau, Philippe Poidevin, and Marc Baroncini describe a 2026 surgical series testing a hinged skull flap for severe head injury with dangerous brain pressure. The standard operation removes a bone flap entirely, but that invites infection and fluid problems and later demands a second operation to replace the bone. Their semifloating version leaves the flap loosely tethered so it can bulge outward under pressure.
Twelve patients treated between 2022 and 2025 form the series, backed by a literature review. Two flaps failed to control pressure and needed full removal the next day. The rest settled back into place within weeks, with no infections, fluid complications, or bone loss, and operating time stayed short. The authors restrict the technique to carefully chosen focal injuries.
Catalog record
| CREATOR | Hugues Bulteau, Philippe Poidevin, Marc Baroncini |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 25 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |