Cranial incision

Bicoronal skin incision for bifrontal craniotomy.

Kempe incision

Temporal skin incision.

Question mark incision.

Reverse question mark incision.

Retroauricular incision.


The entrainment of air typically occurs during bone work, but Spence et al. describe a case in which a venous air embolism (VAE) was recognized while working on the scalp. Monitoring techniques are critical for early treatment of VAE to avoid more serious complications, and our case illustrates the need to implement monitors early and remain vigilant throughout the procedure 1).


1)
Spence NZ, Faloba K, Sonabend AM, Bruce JN, Anastasian ZH. Venous air embolus during scalp incision. J Clin Neurosci. 2016 Jan 4. pii: S0967-5868(15)00659-1. doi: 10.1016/j.jocn.2015.11.019. [Epub ahead of print] PubMed PMID: 26765767.
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