Superficial temporal artery to middle cerebral artery double bypass via a small craniotomy: technical note.
Neurol Med Chir (Tokyo). 2010;50(10):956-9
Authors: Yoshimura S, Egashira Y, Enomoto Y, Yamada K, Yano H, Iwama T
Frontotemporal craniotomy is usually necessary to perform superficial temporal artery (STA)-middle cerebral artery (MCA) double bypass for cerebrovascular occlusive disease. This report describes a less invasive technique of double bypass through a small craniotomy with minimum skin incision. Thirty-four consecutive patients underwent an elective STA-MCA double bypass via a small craniotomy from January 2006 to October 2009. The parietal and frontal branches of the STA were divided through a minimum linear or y-shaped skin incision, and these branches were anastomosed to the supra- and infrasylvian portions of the MCA. No periprocedural complication such as subdural hematoma or cutaneous necrosis occurred. Postoperative cerebral angiography within 6 months showed that the bypasses were patent in all 34 patients. Double STA-MCA bypass via a small craniotomy might be less invasive, especially for patients at high risk for postoperative hemorrhagic complication or cutaneous necrosis.
PMID: 21030817 [PubMed - in process]
Complications From Plastic Surgery
The complications of cosmetic surgery are many. Hematoma’s can occur in three percent of all facial plastic surgeries.
A tender, raised area filled with fluid can indicate Hematoma even if you can’t see any blood.
If necessary, the doctor can drain a small hematoma with a needle. Large, spreading hematomas require your doctor’s immediate attention in order to prevent tissue damage.
Find the right Surgeon to Prevent a Hematoma after a Face-Lift or Plastic Surgery
We suggest that you find surgeon that can prevent complications of cosmetic surgery:
- Monitors bleeding during the surgery
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- Some surgeons use a closed-suction drain – a small tube under the skin behind the ear.
- Ask about the new use of platelet gel, that not only prevent hematomas but reduce bruising and speed healing.
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Worried about complications like hematoma’s when considering a face-lift?
Many new non-surgical options are now available – maybe try those first?
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