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class="gs_asd_dt"><label for="gs_asd_eq"><b>without</b> the words</label></div><div class="gs_asd_dd"><div class="gs_in_txtw gs_in_txtm gs_in_txtb"><input type="text" class="gs_in_txt" name="as_eq" value="" id="gs_asd_eq" autocapitalize="off"><div class="gs_in_txts"></div></div></div></div><div class="gs_asd_tr"><div class="gs_asd_dt"><label for="gs_asd_occt">where my words occur</label></div><div class="gs_asd_dd"><div class="gs_asd_occtr"><span class="gs_in_ra" onclick="void(0)"><input type="radio" name="as_occt" value="any" id="gs_asd_occt_a" checked><label for="gs_asd_occt_a">anywhere in the article</label><span class="gs_chk"></span><span class="gs_cbx"></span></span></div><div class="gs_asd_occtr"><span class="gs_in_ra" onclick="void(0)"><input type="radio" name="as_occt" value="title" id="gs_asd_occt_t"><label for="gs_asd_occt_t">in the title of the article</label><span class="gs_chk"></span><span class="gs_cbx"></span></span></div></div></div><div class="gs_asd_tr"><div 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href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4375048/" data-clk="hl=en&sa=T&oi=gga&ct=gga&cd=0&d=7623442009617081498&ei=FsVZZ5vcLcKM6rQPvoHp6A8" data-clk-atid="miQE9R3oy2kJ"><span class=gs_ctg2>[HTML]</span> nih.gov</a></div></div></div><div class="gs_ri"><h3 class="gs_rt" ontouchstart="gs_evt_dsp(event)"><a id="miQE9R3oy2kJ" href="https://www.thieme-connect.com/products/ejournals/html/10.1055/s-0034-1390396" data-clk="hl=en&sa=T&ct=res&cd=0&d=7623442009617081498&ei=FsVZZ5vcLcKM6rQPvoHp6A8" data-clk-atid="miQE9R3oy2kJ">C-shaped incision for far-lateral suboccipital approach: anatomical study and clinical correlation</a></h3><div class="gs_a gs_fma_s">T Lau, S Reintjes, R Olivera… - … Surgery Part B: Skull …, 2015 - thieme-connect.com</div><div class="gs_a gs_fma_p"><div class="gs_fmaa">T Lau, S Reintjes, R Olivera, HR van Loveren, <a href="/citations?user=jMjm64IAAAAJ&hl=en&oi=sra">S Agazzi</a></div>Journal of Neurological Surgery Part B: Skull Base, 2015<span class="gs_pdot">•</span>thieme-connect.com</div><div class="gs_rs gs_fma_s">Background The standard incision for far-lateral suboccipital approaches has been the <br>classic “reverse hockey stick.” Although that incision provides ample exposure, concern has <br>been raised that excessive muscle dissection and skin elevation might lead to accumulation <br>of cerebrospinal fluid (CSF) under the flap with increased risk of CSF leak. We hypothesize <br>that the C-shaped incision can minimize the amount of muscle dissection and provide <br>optimal exposure and surgical outcomes. Objective To describe the anatomical dissection …</div><div class="gs_fma gs_fma_p gs_invis"><div class="gs_fma_brdr"></div><div class="gs_fma_wpr"><div class="gs_fma_con gs_fma_sh" data-trk="/scholar_url?url=https://www.thieme-connect.com/products/ejournals/html/10.1055/s-0034-1390396&hl=en&sa=T&oi=fma-abs-view&ct=fma-expand&d=7623442009617081498&ei=FsVZZ5vcLcKM6rQPvoHp6A8&tab=-1&at=C-shaped+incision+for+far-lateral+suboccipital+approach:+anatomical+study%C2%A0%E2%80%A6 https://www.google-analytics.com/collect?v=1&tid=UA-133162840-1&aip=1&cid=17930889225649635607&dr=https%3A%2F%2Fscholar.google.com&t=pageview&dl=https://www.thieme-connect.com/products/ejournals/html/10.1055/s-0034-1390396&dt=C-shaped+incision+for+far-lateral+suboccipital+approach:+anatomical+study%C2%A0%E2%80%A6"><div class="gs_fma_abs"><div class="gs_fma_grad"></div><div class="gs_fma_snp"><div class="gsh_csp"> <b>Background</b> The standard incision for far-lateral suboccipital approaches has been the classic “reverse hockey stick.” Although that incision provides ample exposure, concern has been raised that excessive muscle dissection and skin elevation might lead to accumulation of cerebrospinal fluid (CSF) under the flap with increased risk of CSF leak. We hypothesize that the C-shaped incision can minimize the amount of muscle dissection and provide optimal exposure and surgical outcomes.</div> <div class="gsh_csp"> <b>Objective</b> To describe the anatomical dissection for the C-shaped incision and clinical application of the C-shaped incision for the far-lateral approach.</div> <div class="gsh_csp"> <b>Methods</b> A retrospective analysis of all the patients operated on at our center using this approach for the treatment of aneurysm of the posterior inferior cerebellar artery (PICA) from 2005 to 2011. Results of clinical and operative outcome are evaluated. Surgical techniques are described in detail. Cadaveric dissections using the C-shaped incision were performed to assess the exposure of the far-lateral suboccipital area.</div> <div class="gsh_csp"> <b>Results</b> Eleven consecutive patients who had undergone this procedure were selected. All patients underwent clipping of PICA aneurysms. Nine patients (82%) presented with ruptured aneurysms and subarachnoid hemorrhage. All of them underwent suboccipital craniectomy and C1 laminectomy. The dura mater was closed in a watertight fashion in 10 patients (91%). No CSF leak or pseudomeningocele were reported. In nine SAH patients, two (22%) had postoperative dysphagia and required long-term percutaneous endoscopic gastrostomy tube placement. One patient (11%) had chronic respiratory failure and required a tracheostomy. Three patients (33%) developed hydrocephalus and required a ventriculoperitoneal shunt.</div> <div class="gsh_csp"> <b>Conclusions</b> The C-shaped incision is a valid alternative to the classic reverse hockey-stick incision to gain exposure for far-lateral craniotomies. Knowing the anatomy and dissection techniques can provide an easy and safe route to address anterior lateral cranial-cervical lesions. Our results suggest the C-shaped incision is reliable in preventing CSF leak and the formation of pseudomeningocele.</div></div><div class="gs_fma_fons"><div class="gs_fma_fon"><img class="gs_fma_fi" src="/scholar/images/qa_favicons/thieme-connect.com.png">Thieme Connect</div></div></div><div class="gs_fma_sml"><a class="gs_fma_sml_a" data-idx="0" href="javascript:void(0)" role="presentation"><span class="gs_fma_smlsm">Show more</span><span class="gs_fma_smlsl">Show less</span><span class="gs_fma_smlar"></span></a></div></div></div></div><div class="gs_fl gs_flb gs_invis"><a href="javascript:void(0)" class="gs_or_sav gs_or_btn" role="button"><svg viewBox="0 0 15 16" class="gs_or_svg"><path d="M7.5 11.57l3.824 2.308-1.015-4.35 3.379-2.926-4.45-.378L7.5 2.122 5.761 6.224l-4.449.378 3.379 2.926-1.015 4.35z"/></svg><span class="gs_or_btn_lbl">Save</span></a> <a href="javascript:void(0)" class="gs_or_cit gs_or_btn gs_nph" role="button" aria-controls="gs_cit" aria-haspopup="true"><svg viewBox="0 0 15 16" class="gs_or_svg"><path d="M6.5 3.5H1.5V8.5H3.75L1.75 12.5H4.75L6.5 9V3.5zM13.5 3.5H8.5V8.5H10.75L8.75 12.5H11.75L13.5 9V3.5z"/></svg><span>Cite</span></a> <a href="/scholar?cites=7623442009617081498&as_sdt=2005&sciodt=0,5&hl=en">Cited by 16</a> <a href="/scholar?q=related:miQE9R3oy2kJ:scholar.google.com/&scioq=&hl=en&as_sdt=0,5">Related articles</a> <a href="/scholar?cluster=7623442009617081498&hl=en&as_sdt=0,5" class="gs_nph">All 7 versions</a> <a href="javascript:void(0)" title="More" class="gs_or_mor gs_oph" role="button"><svg viewBox="0 0 15 16" class="gs_or_svg"><path d="M0.75 5.5l2-2L7.25 8l-4.5 4.5-2-2L3.25 8zM7.75 5.5l2-2L14.25 8l-4.5 4.5-2-2L10.25 8z"/></svg></a> <a href="javascript:void(0)" title="Fewer" class="gs_or_nvi gs_or_mor" role="button"><svg viewBox="0 0 15 16" class="gs_or_svg"><path d="M7.25 5.5l-2-2L0.75 8l4.5 4.5 2-2L4.75 8zM14.25 5.5l-2-2L7.75 8l4.5 4.5 2-2L11.75 8z"/></svg></a></div></div></div></div><div id="gs_res_ccl_bot" class="gs_fmarb gs_invis"><div style="height:1em"></div></div></div></div></div><div id="gs_ftr_sp" role="presentation"></div><div id="gs_ftr" class="gs_md_rmb" role="contentinfo"><div id="gs_ftr_rt"><a href="//www.google.com/intl/en/policies/privacy/">Privacy</a><a href="//www.google.com/intl/en/policies/terms/">Terms</a><a href="javascript:void(0)" ontouchstart="gs_evt_dsp(event)" role="button" aria-controls="gs_ftr_mnu" aria-haspopup="true" class="gs_press gs_md_tb">Help</a></div><div id="gs_ftr_mnu" class="gs_md_d gs_md_ds gs_ttzi gs_md_ulr" role="menu" tabindex="-1"><a role="menuitem" href="/intl/en/scholar/about.html" tabindex="-1" class="gs_md_li">About Scholar</a><a role="menuitem" href="//support.google.com/websearch?p=scholar_dsa&hl=en" tabindex="-1" class="gs_md_li">Search help</a></div></div></div></body></html>