Duraplasty using amniotic membrane versus temporal muscle fascia: A clinical comparative study

Agus Turchan, NIDN. 8822800016 and Taufiq Fatchur Rochman and Arie Ibrahim and Dyah Fauziah, NIDN. 0005127309 and Joni Wahyuhadi, NIDN. 8885900016 and Muhammad Arifin Parenrengi, dr and Asra Al Fauzi, 091170105 and Erliano Sufarnap and Abdul Hafid Bajamal, Prof. Dr., dr., Sp.BS. and Ferdiansyah Mahyudin, NIDN. 8890010016 and Heri Suroto, NIDN. 8802630017 and Purwati and Fedik Abdul Rantam, NIDN. 0010035907 and Adanti WIdo Paramadini, 081117026 and Christianto Benjamin Lumenta (2018) Duraplasty using amniotic membrane versus temporal muscle fascia: A clinical comparative study. Journal of Clinical Neuroscience, 50. pp. 272-276. ISSN 0967-5868

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Official URL: https://www.jocn-journal.com/article/S0967-5868(17...


In the field of neurosurgery, often the dura mater cannot be sutured, and consequently, it requires a duraplasty procedure using a dural fascial graft. Since 1890, various materials have been researched as dura mater substitutes. Amniotic membrane, for example, is suitable as a dural graft material and has been used in neurosurgery since 2012. However, there has been little research on human patient's dural healing after the use of amniotic membrane in their duraplasty procedure. To address this gap, a clinical experimental study was undertaken to evaluate the human dural healing of 16 patients who had undergone duraplasty in decompressive craniectomy surgery at Dr. Soetomo General Hospital, Surabaya. The amniotic membrane allograft, was sutured to cover the dural defect for eight randomly chosen patients (Group I). The fascial autograft from the temporal muscle had been applied for eight other patients (Group II). Between 10 and 20 weeks after surgery, the patients underwent cranioplasty and dural healing evaluation by cerebrospinal fluid (CSF) leakage testing through the edge of the dural defect. The fibrocyte infiltration around the edge of the dural defect was examined histologically. Statistical analysis, using an independent t-test, was performed with a confidence interval of 95%. The results of the clinical and histological analysis suggest that an amniotic membrane graft was able to provide watertight dural closure and adequate fibrocyte infiltration comparable with that provided by temporalis muscle fascia. This study shows that using an amniotic membrane in neurosurgery has a potential advantage over an alternative dural healing.

Item Type: Article
Uncontrolled Keywords: Duraplasty, Amniotic membrane, Fascia, Comparison
Subjects: R Medicine > R Medicine (General)
R Medicine > RD Surgery
Divisions: 01. Fakultas Kedokteran > Ilmu Bedah Saraf
Agus Turchan, NIDN. 8822800016UNSPECIFIED
Taufiq Fatchur RochmanUNSPECIFIED
Dyah Fauziah, NIDN. 0005127309UNSPECIFIED
Joni Wahyuhadi, NIDN. 8885900016joniwahyuhadi@fk.unair.ac.id
Muhammad Arifin Parenrengi, drUNSPECIFIED
Asra Al Fauzi, 091170105UNSPECIFIED
Erliano SufarnapUNSPECIFIED
Abdul Hafid Bajamal, Prof. Dr., dr., Sp.BS.UNSPECIFIED
Ferdiansyah Mahyudin, NIDN. 8890010016ferdiansyah@fk.unair.ac.id
Heri Suroto, NIDN. 8802630017UNSPECIFIED
Fedik Abdul Rantam, NIDN. 0010035907UNSPECIFIED
Adanti WIdo Paramadini, 081117026UNSPECIFIED
Christianto Benjamin LumentaUNSPECIFIED
Depositing User: hanif kurniawan
Date Deposited: 04 Sep 2019 06:10
Last Modified: 04 Sep 2019 06:10
URI: http://repository.unair.ac.id/id/eprint/86150
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