The publication detail shows the title, authors (with indicators showing other profiled authors), information on the publishing organization, abstract and a link to the article in PubMed. This abstract is what is used to create the fingerprint of the publication. If any grants are referenced by the publication, they will be listed here as well.
Prevention of facial pressure ulcers using the Mayfield clamp for sacral tumor resection.
C Rory Goodwin; Pablo F Recinos; Ibrahim Omeis; Eric N Momin; Timothy F Witham; Ali Bydon; Ziya L Gokaslan; Jean-Paul Wolinsky (Profiled Authors: Jean-Paul Wolinsky; Ali Bydon; Timothy Witham; Ziya Gokaslan)
Department of Neurosurgery, The Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
Journal of neurosurgery. Spine 2011;14(1):85-7.
Sacral neoplasm resection is managed via partial or total sacrectomy that is performed via the Kraske approach. The combination of the patients positioning and the relatively long operative time required for this procedure increase the risk of pressure ulcers. Facial pressure ulcers can cause tissue necrosis and/or ulceration in a highly visible area, leading to a cosmetically disfiguring lesion. Here, the authors report the use of a Mayfield clamp in the positioning of patients undergoing sacral tumor resection to prevent facial pressure ulceration. After the patient is placed prone in the Kraske or Jackknife position, the hips and knees are flexed with arms to the side. Then while in the prone position, the patient is physically placed in pins, and the Mayfield clamp is fixated at the center of the metal arch via the Mayfield sitting adapter to the Andrews frame, suspending the head (and face) over the table. The authors find that this technique prevents the development of facial pressure ulcers, and it has the potential to be used in patients positioned in the Kraske position for other surgical procedures.
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