Hinge and floating decompressive craniotomy for infantile acute subdural hematoma: technical note

Cranioplasty complications after decompressive craniectomy (DC) in infants are not fully recognized. We aimed to devise and assess the efficacy of a hinge and floating DC (HFDC) technique for treating infantile acute subdural hematoma. Five infants, aged 2-20 months, were included. Intracranial pressure was controlled below 20 mmHg, no additional surgery was required, and there was no incidence of surgical site infection or bone graft resorption.

Automated summary

The HFDC technique showed promising results in treating infantile acute subdural hematoma, with effective control of intracranial pressure, reduced need for additional surgery, and no occurrence of surgical site infection or bone graft resorption.