Video:Burr hole
Jump to navigation
Jump to search
Burr hole (Tutorial) | |
---|---|
Commons / NC | |
![]() | |
Steps for video creation | |
Step 1 | Preview my changes (10 sec) |
Step 2 | Upload to Commons (10 min) |
Uses
A burr hole is a procedure typically performed to treat a epidural hematoma.
![](https://upload.wikimedia.org/wikipedia/commons/thumb/f/f9/EpiduralHematoma.jpg/100px-EpiduralHematoma.jpg)
Equipment
The first step is to gather the needed equipment.
![](https://upload.wikimedia.org/wikipedia/commons/thumb/7/78/Equipment_needed_for_a_cranial_burr_hole.png/100px-Equipment_needed_for_a_cranial_burr_hole.png)
![](https://upload.wikimedia.org/wikipedia/commons/thumb/a/ad/List_of_equipment_needed_for_a_burr_hole.png/100px-List_of_equipment_needed_for_a_burr_hole.png)
Review imaging
Review the CT scan, verify the side to be operated on, and measure the thickness of the skull.
![](https://upload.wikimedia.org/wikipedia/commons/thumb/5/5a/Measuring_the_thickness_of_a_human_skull.png/100px-Measuring_the_thickness_of_a_human_skull.png)
Landmark
Often this is 2 centimeters in front of and 2 centimeters above the ear cannel. Though other locations make be used. Remove the hair in this area.
![](https://upload.wikimedia.org/wikipedia/commons/thumb/8/82/Common_locations_for_burr_holes.png/100px-Common_locations_for_burr_holes.png)
![](https://upload.wikimedia.org/wikipedia/commons/thumb/b/ba/13049_2011_Article_474_Fig3_HTML.webp/100px-13049_2011_Article_474_Fig3_HTML.webp.png)
Freezing
Inject freezing (lidocaine with epinephrine) into to area to decrease bleeding.
![](https://upload.wikimedia.org/wikipedia/commons/thumb/d/d2/Lidocaine_hci.jpg/100px-Lidocaine_hci.jpg)
Cut
Make an about 4 centimeter long cut with a scalpel down to the bone.
![](https://upload.wikimedia.org/wikipedia/commons/thumb/a/aa/Scalpel_small.png/100px-Scalpel_small.png)
Retractors
Use retractors to expose the bone.
![](https://upload.wikimedia.org/wikipedia/commons/thumb/2/2b/Weitlaner_Retraktor.jpg/100px-Weitlaner_Retraktor.jpg)
Drill
Use the drill to make a hole through the skull down to the blood.
![](https://upload.wikimedia.org/wikipedia/commons/thumb/a/a8/13049_2011_Article_474_Fig1_HTML.webp/100px-13049_2011_Article_474_Fig1_HTML.webp.png)
![](https://upload.wikimedia.org/wikipedia/commons/thumb/6/68/Vilebrequin_-_mus%C3%A9e_HCL_-_instruments_chirurgicaux.jpg/100px-Vilebrequin_-_mus%C3%A9e_HCL_-_instruments_chirurgicaux.jpg)
Epidural
Blood can be removed with irrigation.
![](https://upload.wikimedia.org/wikipedia/commons/thumb/4/42/Retraction_of_the_skin_of_the_skull_and_burr_hole.png/100px-Retraction_of_the_skin_of_the_skull_and_burr_hole.png)