- •Pinless head fixation is a reasonable option for select patients undergoing microvascular decompression.
- •Surgical complications and operative times are similar between patients undergoing rigid head fixation and pinless head fixation.
- •Communication with the anesthetics team to ensure no patient movement is essential when using pinless head fixation.
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Li Y, Mao F, Cheng F, Peng C, Guo D, Wang B. A Meta-Analysis of Endoscopic Microvascular Decompression versus Microscopic Microvascular Decompression for the Treatment for Cranial Nerve Syndrome Caused by Vascular Compression. World Neurosurg. 2019;126:647-655 e647.
- How effective is the local anesthetic infiltration of pin sites prior to application of head clamps: A prospective observational cohort study of hemodynamic response in patients undergoing elective craniotomy.Surg Neurol Int. 2013; 4: 93
- The Mayfield Skull Clamp: A Literature Review of Its Complications and Technical Nuances for Application.World Neurosurg. 2021; 151: 102-109
- Headholders' - complications in neurosurgery: A review of the literature and recommendations for its use.Neurochirurgie. 2016; 62: 289-294
- Intracranial penetrating injury associated with an intraoperative epidural haematoma caused by a spring-laden pin of a multipoise headrest.Br J Neurosurg. 2001; 15: 425-428
- Pin-site epidural hematoma in an adult case of chronic hydrocephalus with associated thinning of the cranium.Br J Neurosurg. 2009; 23: 211-212
- Venous air embolism arising after removal of Mayfield skull clamp.J Neurosurg Anesthesiol. 2008; 20: 158-159
- Air embolism related to removal of Mayfield head pins.Asian J Neurosurg. 2012; 7: 227-228
Berry C, Sandberg DI, Hoh DJ, Krieger MD, McComb JG. Use of cranial fixation pins in pediatric neurosurgery. Neurosurgery. 2008;62(4):913-918; discussion 918-919.
- Depressed skull fracture and epidural hematoma from head fixation with pins for craniotomy in children.Childs Nerv Syst. 2008; 24 (discussion 925): 917-923
- Osteology of the Pediatric Skull: Considerations of Halo Pin Placement.Spine. 1994; 19: 1451-1454
Rabbani CC, Patel JM, Nag A, et al. Association of Intracranial Hypertension with Calvarial and Skull Base Thinning. Otol Neurotol. 2019;40(6):e619-e626.
- Injury and liability associated with monitored anesthesia care: a closed claims analysis.Anesthesiology. 2006; 104: 228-234