Bykovnikov L D
Zh Vopr Neirokhir Im N N Burdenko. 1979 May-Jun(3):9-14.
Basal contusions of the frontal and temporal lobes of the brain, occurring as a contrecoup as a rule, are particularly severe and are marked by a high mortality. The 10-year practice of the Sklifosovsky Scientific Research Institute of Emergency Aid in the surgical management of cerebral contusion was aimed at the search for a less traumatic craniotomy approach and the most sparing and radical, within reasonable limits, intervention on the cerebral focus. Analysis of the work done enables us to choose the method described in the article, comprising extensive infratemporal craniotomy which excludes the frontal, temporal, and parietal, lobes, and to recommend combining intervention on the focus with internal decompression and active aspiration of the wound discharge from the cranial cavity in the first 24 hours after the operation. The illustrations supplied show the stages of the operation: linear skin incision, incision and separation of the temporal muscle, resection of the squama of the temporal and frontal bones down to the base of the skull. The operation may also be carried out as osteoplasty (sites for forming the trephination openings are shown in Fig. 1, a).
脑额叶和颞叶的基底挫伤通常作为对冲伤出现，尤为严重，死亡率很高。斯克利福索夫斯基急救科学研究所10年来在脑挫伤手术治疗方面的实践旨在寻找一种创伤较小的开颅方法，并在合理范围内对脑病灶进行最微创且彻底的干预。对所做工作的分析使我们能够选择本文所述的方法，包括广泛的颞下开颅术，该术式不涉及额叶、颞叶和顶叶，并建议在术后24小时内将对病灶的干预与内减压以及积极抽吸颅腔伤口引流液相结合。所提供的插图展示了手术步骤：线性皮肤切口、颞肌切开与分离、切除颞骨和额骨鳞部直至颅底。该手术也可作为骨成形术进行（形成钻孔开口的部位见图1a）。
