Background

Burr hole trepanation (BHT) is the most commonly used surgical method for the treatment of chronic subdural haematoma (cSDH).

Method

We give a brief overview on the indication for surgical treatment of cSDH, the surgical technique of BHT, and specific perioperative considerations. In particular, we emphasise on the technique of a subperiosteal drain placement.

Conclusion

BHT is a valid option to treat chronic subdural haematoma. Careful surgical technique and placement of a subperiosteal drain is required to minimise complications and improve outcome.

中文翻译：

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慢性颅底硬膜下血肿的孔洞刺破和骨膜下引流的插入：我该怎么做。

背景

毛刺孔穿孔（BHT）是治疗慢性硬膜下血肿（cSDH）的最常用手术方法。

方法

我们简要概述了cSDH的手术治疗适应症，BHT的手术技术以及围手术期的具体考虑因素。特别地，我们强调骨膜下引流的技术。

结论

BHT是治疗慢性硬膜下血肿的有效选择。需要仔细的手术技术和骨膜下引流的位置，以最大程度地减少并发症并改善预后。