S Keskil1, G Bademci, M Goksel. 1. Department of Neurosurgery, Bayindir Medical Center Sogütözü, Ankara, Turkey. sk06-k@tr.net
Abstract
OBJECTIVE: The extent of dural resection is important for preventing recurrence in meningioma management. An image-guidance assisted technique is described to perform adequate dural resection. METHODS: A universal instrument adapter system for image-guidance was used to track the dural extension of the meningioma accurately. RESULTS: The universal instrument adapter offers the surgeon the possibility to image-guide nearly any rigid instrument via the computed calibration method. In this way a surgical marking pen was used to chase and adequately mark the "dural tail". DISCUSSION: Image-guidance systems can be used to avoid incomplete resection of the affected dura that may be responsible for tumour recurrence.
OBJECTIVE: The extent of dural resection is important for preventing recurrence in meningioma management. An image-guidance assisted technique is described to perform adequate dural resection. METHODS: A universal instrument adapter system for image-guidance was used to track the dural extension of the meningioma accurately. RESULTS: The universal instrument adapter offers the surgeon the possibility to image-guide nearly any rigid instrument via the computed calibration method. In this way a surgical marking pen was used to chase and adequately mark the "dural tail". DISCUSSION: Image-guidance systems can be used to avoid incomplete resection of the affected dura that may be responsible for tumour recurrence.