Willenberg E, Kaliski D, Krumbholz S
Zentralbl Neurochir. 1978;39(2):191-6.
In serious craniocerebral traumata in which the cerebral oedema cannot be controlled by conservative methods, the authors again recommend the performance of a bitemporal relieving trepanation reaching far in basal direction (adults 5 cm ø, children 4 cm ø). In case of closed traumata, the operation is started on the more affected side, in case of open injuries trepanation is first carried out on the other side. Detailed indications about the accompanying oedema treatment. The wide opened dura is covered with the temporalis fascia or with a free transplant.
在严重颅脑创伤中，若保守方法无法控制脑水肿，作者再次推荐进行双颞减压开颅术，其基底方向深入（成人直径5厘米，儿童直径4厘米）。对于闭合性创伤，手术从受影响更严重的一侧开始；对于开放性损伤，则先在另一侧进行开颅术。关于伴随的水肿治疗有详细指征。广泛打开的硬脑膜用颞肌筋膜或游离移植物覆盖。
