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Frontotemporal craniotomy with skin incision along the superior temporal line outside the hairline in bald male patients with temporal gliomas

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Abstract

A head skin incision is inevitable in neurosurgical procedures and is usually concealed within the hairline. Androgenetic alopecia (AGA) is a progressive hair loss disorder or baldness highly prevalent in men. Therefore, if bald male patients require neurosurgical procedures, skin incisions cannot be concealed, but this subject is yet to be discussed in the literature. This study presents a frontotemporal craniotomy using a skin incision along the superior temporal line, ignoring the hairline in bald male patients. Thirty-three patients with temporal gliomas underwent surgical removal between 2015 and 2022. They were divided into three groups: bald male patients with skin incisions not concealed in the hairline (minimum group, n = 13), bald and non-bald male patients with skin incisions concealed in the hairline (male group, n = 11), and female patients with skin incisions concealed in the hairline (female group, n = 9). In the minimum group, patients had no complaints regarding the incision scar. Cosmetic outcome was excellent, and no cases showed surgical site infection or peripheral facial nerve palsy. Compared with the male and female groups, the minimum group had the shortest skin incision length; however, the craniotomy size and extent of resection were similar. Skin incision for frontotemporal craniotomy cannot be hidden in bald male patients, and the preferred location for the incision is unknown. The skin incision along the superior temporal line is a cosmetically favorable, feasible, and safe procedure.

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Acknowledgements

We thank Editage for the English-language review.

Funding

This work was supported in part by the Japan Society for the Promotion of Science (JSPS) KAKENHI for Grant-in-Aid for Scientific Research (C), Grant Number 22K09291, Taiju Life Social Welfare Foundation, and Parents’ Association Grant of Kitasato University, School of Medicine.

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Authors and Affiliations

  1. Department of Neurosurgery, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami-Ku, Sagamihara, Kanagawa, 252-0374, Japan

    Yuri Hyakutake, Ichiyo Shibahara, Mariko Toyoda, Ryota Shigeeda, Hajime Handa, Wakiko Saruta, Sumito Sato, Takuichiro Hide & Toshihiro Kumabe

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  1. Yuri Hyakutake
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  2. Ichiyo Shibahara
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  3. Mariko Toyoda
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  4. Ryota Shigeeda
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  5. Hajime Handa
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  6. Wakiko Saruta
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  7. Sumito Sato
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  8. Takuichiro Hide
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  9. Toshihiro Kumabe
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Contributions

Y.H., I.S. and T.K. wrote the main manuscript text and prepared figures and tables. All authors collected the data and reviewed the manuscript.

Corresponding author

Correspondence to Ichiyo Shibahara.

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Ethical approval

This retrospective study followed the principles of the Declaration of Helsinki and utilized clinical data approved by the local ethics committees of Kitasato University School of Medicine (IRB#: B22-029).

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Written informed consent was obtained from the participants.

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The authors declare no competing interests.

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Hyakutake, Y., Shibahara, I., Toyoda, M. et al. Frontotemporal craniotomy with skin incision along the superior temporal line outside the hairline in bald male patients with temporal gliomas. Neurosurg Rev 46, 296 (2023). https://doi.org/10.1007/s10143-023-02212-z

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  • DOI: https://doi.org/10.1007/s10143-023-02212-z

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