Surgical Efficacy Analysis of Traumatic Posterior Fossa Epidural Hematoma in Children.

OBJECTIVE

To investigate the treatment effect and prognosis of posterior fossa epidural hematoma in children by different surgical methods.

METHODS

The clinical data of 41 children with traumatic posterior fossa epidural hematoma treated by surgery in the Department of Neurosurgery from June 2015 to October 2023 were retrospectively analyzed. Among them, 32 cases underwent minimally invasive skull trepanation and drainage and 9 cases underwent craniotomy and hematoma removal. The therapeutic effects and prognosis of the two surgical methods were analyzed.

RESULTS

All the cases were successfully treated by operation. The operation time and intraoperative blood loss of the children who underwent minimally invasive skull trepanation and drainage were significantly reduced compared with those who underwent craniocerebral hematoma removal (P < 0.05), but there was no significant difference in the postoperative ventilator withdrawal time, hospitalization days, and postoperative complications between the two groups (P > 0.05). After 4 months to 2 years of follow-up, all the children recovered well, and no children died or became disabled after surgery.

CONCLUSIONS

The effect of minimally invasive skull trepanation and drainage in the treatment of posterior fossa epidural hematoma in children is similar to that of craniotomy hematoma removal, but the operation is simpler, less trauma, less intraoperative bleeding, and short operation time, which is worthy of clinical application.