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January 1936


Author Affiliations


From the Montreal Neurological Institute of McGill University and the Royal Victoria Hospital.

Arch NeurPsych. 1936;35(1):1-12. doi:10.1001/archneurpsyc.1936.02260010011001

In no branch of surgery is the maneuver of opening and closing the wound more important or more arduous than in cranial surgery. We desire to describe a simple operative technic which in our hands has proved to be superior to the conventional subtemporal and suboccipital procedures.

MYOPLASTIC SUBTEMPORAL CRANIOTOMY  The myoplastic subtemporal craniotomy technic permits rapid exploration through a wide unobstructed opening and provides a firm, safe restoration. The steps of the procedure follow in detail.1. A curved incision, as indicated in the insert in figure 1, is made in the scalp without wounding the pericranium. This incision skirts the superior temporal line to which the fascia of the temporal muscle is attached. This ends anteriorly at or just behind the hair line. Posteriorly the incision is swung slightly forward on the supramastoid crest, which lies at the level of the superior border of the zygoma. The superior