Hemorrhage. The most serious and first complication encountered is hemorrhage. That from the external incision and bone, especially at the anterior angle, from the anterior branch of the middle meningeal artery, is profuse. William Perry had a case of meningeal hemorrhage from the flap and the patient died of meningitis on the fourth day. For this reason the bone is not divided in this position until the last act of the osteoplastic flap formation. If the artery is free on the surface, it may be ligated at this point, or if it be in a bony canal, as it was in 55 per cent, of the skulls examined by Dollinger,11 it can be compressed by plugging the opening, or, better, by indenting the bone with a blunt punch.A second source of hemorrhage is from the venæ Santorini, with the separation of the dura. The separation should be
MURPHY JB, NEFF JM. EXCISION OF THE GASSERIAN GANGLION.WITH REPORTS OF TEN CASES OPERATED UPON BY THE HARTLEY-KRAUSE METHOD.. JAMA. 1902;XXXIX(16):981–987. doi:10.1001/jama.1902.52480420033001h
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: