Читать книгу The Surgery of the Skull and Brain - Louis Bathe Rawling - Страница 40

Reference has already been made to the great importance of opening the dura in such a manner as to avoid injury to the underlying superficial cerebral vessels (see p. 19). It may be incised in a crucial manner or by flap-formation. Flaps are usually to be preferred if the surgeon desires to have the widest possible view of the brain surface. In the formation of the flap, advantage should be taken of the vessels that minister to its vitality. Thus, in the lateral region of the head, the base lies below, the middle meningeal artery supplying the flap. Under special circumstances, the blood-supply may be disregarded; the flap never sloughs, so far as my experience goes.