AUTHOR=Giammattei L. , Starnoni D. , Messerer M. , Daniel R. T. 

TITLE=Basal Cisternostomy for Severe TBI: Surgical Technique and Cadaveric Dissection

JOURNAL=Frontiers in Surgery

VOLUME=Volume 9 - 2022

YEAR=2022

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2022.915818

DOI=10.3389/fsurg.2022.915818

ISSN=2296-875X

ABSTRACT=Introduction: Cisternostomy is emerging as a novel surgical technique in the setting of severe brain trauma. Different surgical techniques have been proposed with a variable degree of epidural bone work. We present here the surgical technique as it is currently performed in our Institution. 
Methods: Anatomical dissection of one adult cadaveric head, injected and non-formalin fixed was perfomed. A large right fronto-temporo-parietal craniotomy was accomplished. Extradural sphenoidal drilling till opening of the superior orbital fissure was performed. The microsurgical anatomy of basal cisternostomy was then explored.
Results: A step by step description of the surgical technique, enriched with cadaveric and intraoperative images, was made.
Conclusion: Basal cisternostomy is a promising surgical technique that does not necessarily include complex surgical maneuvers. Trained neurosurgeon can safely implement it in their clinical practice.