Treatment of the severe bifrontal contusion with double frontal decompressive craniectomy through coronal incision in 21 cases

Objective:To explore the curative effects of double frontal decompressive craniectomy through coronal incision in the treatment of severe bifrontal contusion.Methods:The data of 21 patients with severe bifrontal contusion treated with double frontal decompressive craniectomy through coronal incision and without retaining frontal bone bridge were retrospectively analyzed.Results:All patients were followed up for 1 year.Nineteen cases survived,2 cases died.Excellent in 11 cases(52.3%),light disability in 5 cases(23.8%),heavy disability in 3 cases(14.2%) and death in 2 cases(9.5%) were found according to the Clasgow outcome scale.Conclusions:The curative effects of double frontal decompressive craniectomy through coronal incision in treating severe bifrontal contusion are good,which can effectively improve the prognosis,and reduce disability and mortality of patients.