{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T13:17:25Z","timestamp":1783775845539,"version":"3.55.0"},"reference-count":40,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>Moyamoya vasculopathy (MMV) is a steno-occlusive cerebrovascular disease that can be treated by a surgical revascularization. All the revascularization techniques influence the blood supply of the scalp, with a risk for wound healing disorders. The authors\u2019 aim was to analyze the wound healing process in the patients who underwent a direct or combined bypass surgery with a focus on different skin incisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>The authors retrospectively identified all the patients with MMV who were treated surgically in their institution. Subsequently, they analyzed demographic data, clinical symptoms, surgical treatment, and detailed history of complications. Based on the evolution of their surgical techniques and the revascularization strategy to be used, the authors applied the following skin incisions: linear incision, curved incision, incomplete Y incision, and complete Y incision. Group comparisons regarding wound healing disorders were performed with significance testing using Fisher\u2019s exact test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>The authors identified 172 patients with MMV (61.6% moyamoya disease, 7% unilateral moyamoya disease, 29.7% moyamoya syndrome, and 1.7% unilateral moyamoya syndrome), of whom 124 underwent bilateral operations. One-quarter of the patients were juveniles. A total of 236 hemispheres were included in the analysis, of which 27.9% were treated by a combined procedure with encephalomyosynangiosis. Overall, 5.1% major and 1.7% minor wound complications occurred. The overall wound complication rate was lower in direct revascularization compared to combined revascularization (3% vs 15.2%). The lowest incidence of wound healing disorders was found in the linear incision group for the parietal superficial temporal artery branch (1.6%), followed by the incomplete Y incision group for the frontal branch of the superficial temporal artery (3.8%) in the direct bypass group. In the combined revascularization cohort, major or minor wound disorders appeared in 14.3% and 4.8%, respectively, in the complete Y incision group and in 4.2% (for both major and minor) in the curved incision group. The complete Y incision caused significantly more wound healing disorders compared to the remaining incision types (17.1% vs 3.1%, p = 0.007).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Wound healing disorders are one of the major complications of revascularization surgery. Their incidence depends on the revascularization strategy and skin incision applied, with a complete Y incision giving the worst results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2018.11.focus18512","type":"journal-article","created":{"date-parts":[[2019,2,26]],"date-time":"2019-02-26T20:59:11Z","timestamp":1551214751000},"page":"E12","source":"Crossref","is-referenced-by-count":26,"title":["Wound healing complications after revascularization for moyamoya vasculopathy with reference to different skin incisions"],"prefix":"10.3171","volume":"46","author":[{"given":"G\u00fcliz","family":"Acker","sequence":"first","affiliation":[{"name":"Department of Neurosurgery and Center for Stroke Research Berlin, Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin (corporate member of Freie Universit\u00e4t Berlin, Humboldt\u2013Universit\u00e4t zu Berlin, and Berlin Institute of Health), Berlin;"},{"name":"Berlin Institute of Health, Berlin;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Schlinkmann","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Center for Stroke Research Berlin, Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin (corporate member of Freie Universit\u00e4t Berlin, Humboldt\u2013Universit\u00e4t zu Berlin, and Berlin Institute of Health), Berlin;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucius","family":"Fekonja","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Center for Stroke Research Berlin, Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin (corporate member of Freie Universit\u00e4t Berlin, Humboldt\u2013Universit\u00e4t zu Berlin, and Berlin Institute of Health), Berlin;"},{"name":"Cluster of Excellence: \u201cImage Knowledge Gestaltung: An Interdisciplinary Laboratory,\u201d Humboldt University, Berlin;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lukas","family":"Gr\u00fcnwald","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Center for Stroke Research Berlin, Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin (corporate member of Freie Universit\u00e4t Berlin, Humboldt\u2013Universit\u00e4t zu Berlin, and Berlin Institute of Health), Berlin;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliane","family":"Hardt","sequence":"additional","affiliation":[{"name":"Institute of Biometry and Clinical Epidemiology, Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin (corporate member of Freie Universit\u00e4t Berlin, Humboldt\u2013Universit\u00e4t zu Berlin, and Berlin Institute of Health), Berlin; and"},{"name":"Clinical Research Unit, Berlin Institute of Health, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus","family":"Czabanka","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Center for Stroke Research Berlin, Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin (corporate member of Freie Universit\u00e4t Berlin, Humboldt\u2013Universit\u00e4t zu Berlin, and Berlin Institute of Health), Berlin;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Vajkoczy","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Center for Stroke Research Berlin, Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin (corporate member of Freie Universit\u00e4t Berlin, Humboldt\u2013Universit\u00e4t zu Berlin, and Berlin Institute of Health), Berlin;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Neurosurgery","first-page":"430","article-title":"Surgical outcomes for moyamoya angiopathy at Barrow Neurological Institute with comparison of adult indirect encephaloduroarteriosynangiosis bypass, adult direct superficial temporal artery-to-middle cerebral artery bypass, and pediatric bypass: 154 revascularization surgeries in 140 affected hemispheres","volume":"73","author":"Abla AA","year":"2013","unstructured":"Abla AA, Gandhoke G, Clark JC, Oppenlander ME, Velat GJ, Zabramski JM, : Surgical outcomes for moyamoya angiopathy at Barrow Neurological Institute with comparison of adult indirect encephaloduroarteriosynangiosis bypass, adult direct superficial temporal artery-to-middle cerebral artery bypass, and pediatric bypass: 154 revascularization surgeries in 140 affected hemispheres. 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