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Biomechanical Properties of the Cranial Dura Mater with Puncture Defects : An In Vitro Study

  • Aydin, Hasan Emre (Department of Neurosurgery, Kutahya Health Science University) ;
  • Kizmazoglu, Ceren (Department of Neurosurgery, Dokuz Eylul University School of Medicine) ;
  • Kaya, Ismail (Department of Neurosurgery, Kutahya Health Science University) ;
  • Husemoglu, Bugra (Department of Biomechanics, Dokuz Eylul University School of Medicine Health Science Institute) ;
  • Sozer, Gulden (Department of Pathology, Forensic Medicine Institution) ;
  • Havitcioglu, Hasan (Department of Biomechanics, Dokuz Eylul University School of Medicine Health Science Institute) ;
  • Arslantas, Ali (Department of Neurosurgery, Eskisehir Osmangazi University School of Medicine)
  • 투고 : 2018.06.14
  • 심사 : 2018.09.01
  • 발행 : 2019.07.01

초록

Objective : The primary aim of this investigation was to explore the nature of dura mater biomechanics following the introduction of puncture defect(s). Methods : Twenty-eight dura mater specimens were collected during autopsy from the department of forensic medicine of the authors' institution. Specimens were divided randomly into one of four groups : group I (cranial dura mater; n=7), group II (cranial dura mater with one puncture defect; n=7); group III (cranial dura mater with two puncture defects; n=7), and group IV (cranial dura mater with three puncture defects; n=7). Results : The mean${\pm}$standard deviation tensile strengths of the dura mater were $8.35{\pm}3.16$, $8.22{\pm}3.32$, $7.13{\pm}1.77$, and $6.94{\pm}1.93MPa$ for groups I, II, III, and IV, respectively. There was no statistical difference between all groups. A single, two or more punctures of the dura mater using a 20-gauge Quincke needle did not affect cranial dura tensile strength. Conclusion : This biomechanical study may contribute to the future development of artificial dura mater substitutes and medical needles that have a lower negative impact on the biomechanical properties of dura mater.

키워드

참고문헌

  1. Davignon KR, Dennehy KC : Update on postdural puncture headache. Int Anesthesiol Clin 40 : 89-102, 2002 https://doi.org/10.1097/00004311-200210000-00008
  2. Dufrane D, Marchal C, Cornu O, Raftopoulos C, Delloye C : Clinical application of a physically and chemically processed human substitute for dura mater. J Neurosurg 98 : 1198-1202, 2003 https://doi.org/10.3171/jns.2003.98.6.1198
  3. Famaey N, Verhoeven J, Jacobs S, Pettinari M, Meyns B : In situ evolution of the mechanical properties of stretchable and non-stretchable ePTFE vascular grafts and adjacent native vessels. Int J Artif Organs 37 : 900-910, 2014 https://doi.org/10.5301/ijao.5000368
  4. Flaatten H, Felthaus J, Kuwelker M, Wisborg T : Postural post-dural puncture headache. A prospective randomised study and a meta-analysis comparing two different 0.40 mm O.D. (27 g) spinal needles. Acta Anaesthesiol Scand 44 : 643-647, 2000 https://doi.org/10.1034/j.1399-6576.2000.440603.x
  5. Flaatten H, Thorsen T, Askeland B, Finne M, Rosland J, Hansen T, et al. : Puncture technique and postural postdural puncture headache. A randomised, double-blind study comparing transverse and parallel puncture. Acta Anaesthesiol Scand 42 : 1209-1214, 1998 https://doi.org/10.1111/j.1399-6576.1998.tb05279.x
  6. Kim M, Yoon H : Comparison of post-dural puncture headache and low back pain between 23 and 25 gauge Quincke spinal needles in patients over 60 years: randomized, double-blind controlled trial. Int J Nurs Stud 48 : 1315-1322, 2011 https://doi.org/10.1016/j.ijnurstu.2011.04.005
  7. Lewis MC, Lafferty JP, Sacks MS, Pallares VS, TerRiet M : How much work is required to puncture dura with Tuohy needles? Br J Anaesth 85 : 238-241, 2000 https://doi.org/10.1093/bja/85.2.238
  8. Liu SS, McDonald SB : Current issues in spinal anesthesia. Anesthesiology 94 : 888-906, 2001 https://doi.org/10.1097/00000542-200105000-00030
  9. Longo S : Postdural puncture: implications and complications. Curr Opin Anaesthesiol 12 : 271-275, 1999 https://doi.org/10.1097/00001503-199906000-00002
  10. Lux EA, Althaus A : Is there a difference in postdural puncture headache after continuous spinal anesthesia with 28G microcatheters compared with punctures with 22G Quincke or Sprotte spinal needles? Local Reg Anesth 7 : 63-67, 2014 https://doi.org/10.2147/lra.s68828
  11. Lybecker H, Moller JT, May O, Nielsen HK : Incidence and prediction of postdural puncture headache. A prospective study of 1021 spinal anesthesias. Anesth Analg 70 : 389-394, 1990 https://doi.org/10.1213/00000539-199002001-00389
  12. Mahvash M, Dupont PE : Fast needle insertion to minimize tissue deformation and damage. IEEE Int Conf Robot Autom 2009 : 3097-3102, 2009 https://doi.org/10.1109/ROBOT.2009.5152617
  13. Matas SL : Why should we use atraumatic needles in lumbar puncture? Arq Neuropsiquiatr 71 : 681-684, 2013 https://doi.org/10.1590/0004-282X20130150
  14. McGarvey KA, Lee JM, Boughner DR : Mechanical suitability of glycerolpreserved human dura mater for construction of prosthetic cardiac valves. Biomaterials 5 : 109-117, 1984 https://doi.org/10.1016/0142-9612(84)90011-5
  15. Mihic DN : Postspinal headaches, needle surfaces and longitudinal orientation of the dural fibers. Results of a survey. Reg Anaesth 9 : 54-56, 1986
  16. Oh J, Liu K, Medina T, Kralick F, Noh HM : A novel microneedle array for the treatment of hydrocephalus. Microsyst Technol 20 : 1169-1179, 2014 https://doi.org/10.1007/s00542-013-1988-4
  17. Protasoni M, Sangiorgi S, Cividini A, Culuvaris GT, Tomei G, Dell'Orbo C, et al. : The collagenic architecture of human dura mater. J Neurosurg 114 : 1723-1730, 2011 https://doi.org/10.3171/2010.12.JNS101732
  18. Reina MA, De Leon Casasola O, Lopez A, De Andres JA, Mora M, Fernandez A : The origin of the spinal subdural space: ultrastructure findings. Anesth Analg 94 : 991-995, table of contents, 2002 https://doi.org/10.1097/00000539-200204000-00040
  19. Reina MA, Lopez-Garcia A, Dittmann M, de Andres JA : Analysis of the external and internal surface of human dura mater with scanning electron microscopy. Rev Esp Anestesiol Reanim 43 : 130-134, 1996
  20. Schmittner MD, Urban N, Janke A, Weiss C, Bussen DG, Burmeister MA, et al. : Influence of the pre-operative time in upright sitting position and the needle type on the incidence of post-dural puncture headache (PDPH) in patients receiving a spinal saddle block for anorectal surgery. Int J Colorectal Dis 26 : 97-102, 2011 https://doi.org/10.1007/s00384-010-1012-8
  21. Seeberger MD, Kaufmann M, Staender S, Schneider M, Scheidegger D : Repeated dural punctures increase the incidence of postdural puncture headache. Anesth Analg 82 : 302-305, 1996 https://doi.org/10.1213/00000539-199602000-00015
  22. van Gerwen DJ, Dankelman J, van den Dobbelsteen JJ : Needle-tissue interaction forces--a survey of experimental data. Med Eng Phys 34 : 665-680, 2012 https://doi.org/10.1016/j.medengphy.2012.04.007
  23. van Noort R, Black MM, Martin TR, Meanley S : A study of the uniaxial mechanical properties of human dura mater preserved in glycerol. Biomaterials 2 : 41-45, 1981 https://doi.org/10.1016/0142-9612(81)90086-7
  24. Wolfinbarger L Jr, Zhang YX, Adam BLT, Homsi D, Gates K, Sutherland V : Biomechanical aspects on rehydrated freeze-dried human allograft dura-mater tissues. J Appl Biomater 5 : 265-270, 1994 https://doi.org/10.1002/jab.770050313
  25. Yamada K, Miyamoto S, Nagata I, Kikuchi H, Ikada Y, Iwata H, et al. : Development of a dural substitute from synthetic bioabsorbable polymers. J Neurosurg 86 : 1012-1017, 1997 https://doi.org/10.3171/jns.1997.86.6.1012
  26. Yamada K, Miyamoto S, Takayama M, Nagata I, Hashimoto N, Ikada Y, et al. : Clinical application of a new bioabsorbable artificial dura mater. J Neurosurg 96 : 731-735, 2002 https://doi.org/10.3171/jns.2002.96.4.0731
  27. Zerris VA, James KS, Roberts JB, Bell E, Heilman CB : Repair of the dura mater with processed collagen devices. J Biomed Mater Res B Appl Biomater 83 : 580-588, 2007

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