Özet:

OBJECTIVE: One or two burr-hole craniostomy with subgaleal or subdural drainage system with irrigation are the most common methods for surgical treatment of CSDH. The aim of this study is to compare the advantages or disadvantages between these techniques for CSDH.METHODS: Seventy patients were treated by burr-hole subdural drainage or subgaleal drainage system with irrigation. Our patients were classified into two groups according to the operative procedure. Group I, one or two burr- hole craniostomy with subgaleal closed system drainage with irrigation (n=36), group II, one or two burr-hole craniostomy with subdural closed drainage system with irrigation(n=38). We compared male and female ratio, complication rate, age distribution.RESULTS: There was no remarkable difference between recurrence rates of the two groups. Recurrence rate was %6.25 in group I and %7.8 group II. Subdural ampyema was occurred in one of the patients in group II. Symptomatic pneumocephalus wasn’t occur in patients. Four patients were reoperated for recurrence at on average 12-20 days after the operation with the same methods. CONCLUSION: Both of the techniques have a higher cure rate and a lower risk of recurrence. However, subgaleal drainage system is relatively less invasive, safe,technical easy. So it applicable to aged and higher risk patients.

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